Beth Amy Cohen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12003 Issued in CA

Practice address

112 A St
Davis, CA 95616-4608

Phone

(916) 254-8980

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 18, 2021 through Feb 18, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Organizational Mind Group, a Psychological Corporation

  • Counseling Psychologist
  • Dana Point, CA
  • NPI 1477103356
  NPD

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871561142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 A ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164608",
            "telephone_number": "916-254-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 A ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164608",
            "telephone_number": "916-254-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BETH",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY12003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Coates
• Theodore W Coates, PA-C
• Bethany Basinger Coburn, LCSW
• Annette Cody, ANNETTE CODY
• Susan Alice Cohen Byrne, MFT
• Deborah Ellen Cohen, MFT
• Ellen Ruth Cohen, PHD MFT
• Sandra Lynn Coldiron
• Jodi M Cole, CMT
• Norma Cole

• Psychologist in Davis, CA
• Providers in Davis, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.