Individual provider Active NPI

Elizabeth Cohen, PHD

  • Cognitive & Behavioral Psychologist
  • New York, NY
National Provider Identifier
1811352263
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
201318468 Issued in NY
Practice address
164 W 80TH St
Basement Suite Office #3
New York, NY 10024-6357
Phone
(917) 596-8955
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 201318468 NY Primary

Addresses

Primary practice location

164 W 80TH St
Basement Suite Office #3
New York, NY 10024-6357

Mailing address

164 W 80TH St
Basement Suite Office #3
New York, NY 10024-6357
Phone (917) 596-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 5, 2025 through Mar 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
201318468NYMDCognitive & Behavioral Psychologist
016386NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Cohen PHD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1811352263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 80TH ST",
            "address_2": "BASEMENT SUITE OFFICE #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246357",
            "telephone_number": "917-596-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 80TH ST",
            "address_2": "BASEMENT SUITE OFFICE #3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246357",
            "telephone_number": "917-596-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "201318468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.