Organization Active NPI

Laura Cohen PA

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1851573935
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PY5632 Issued in FL
Legal business name
LAURA COHEN PA
Practice address
2699 Stirling Rd
Suite C403C
Fort Lauderdale, FL 33312-6517
Phone
(954) 893-7110
Fax
(954) 893-1105
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Laura A Cohen, PH.D.,P.ANPI 1730176892
Title
Psychologist/President
Phone
(954) 893-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PY5632 FL Primary

Addresses

Primary practice location

2699 Stirling Rd
Suite C403C
Fort Lauderdale, FL 33312-6517

Mailing address

2699 Stirling Rd
Suite C403C
Fort Lauderdale, FL 33312-6517
Phone (954) 893-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000603 FL Part B Supplier - Clinic/Group Practice 8022045061 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2699 Stirling Rd
Ste C402
Fort Lauderdale, FL 33312
Phone (954) 893-7110

2699 Stirling Rd
Ste C304
Ft Lauderdale, FL 33312
Phone (754) 444-1950

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1851573935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C403C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-893-7110",
            "fax_number": "954-893-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C403C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-893-7110",
            "fax_number": "954-893-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA COHEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "954-893-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,P.A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "PY5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.