Active NPI
Iran Neal Cohen, PHD
- Clinical Psychologist
- Springfield, MO
National Provider Identifier
1861527608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00024
- Practice address
- 1736 E Sunshine St
Ste 510
Springfield, MO 65804-1331 - Phone
- (417) 882-9734
- Fax
- (417) 326-4707
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00024 | MO | Primary |
Addresses
Primary practice location
1736 E Sunshine St
Ste 510
Springfield, MO 65804-1331
Mailing address
PO Box 144
Bolivar, MO 65613
Phone (417) 882-9734
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6157984 | Other | MO | UBH |
| 14312 | Other | MO | BC |
| R00673 | Other | MO | PREMIER |
| 492904404 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00024 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1861527608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 144",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "65613",
"telephone_number": "417-882-9734",
"fax_number": "417-326-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 E SUNSHINE ST",
"address_2": "STE 510",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041331",
"telephone_number": "417-882-9734",
"fax_number": "417-326-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "IRAN",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "PY00024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6157984",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "14312",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER",
"identifier": "R00673",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "492904404",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.