Diane J Cohen Carlson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY13662 Issued in CA

Practice address

5625 College Ave Ste 210C
Oakland, CA 94618-1677

Phone

(510) 653-1464

Fax

(510) 547-0174

NPI assigned

Nov 18, 2005

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Diane Cohen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 11, 2024 through Nov 11, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1871575308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE STE 210C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181677",
            "telephone_number": "510-653-1464",
            "fax_number": "510-547-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE STE 210C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181677",
            "telephone_number": "510-653-1464",
            "fax_number": "510-547-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN CARLSON",
        "first_name": "DIANE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13662",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "COHEN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Ann Coelho, MPH
• Kristine Coffaro
• Andrea Coffey, PA
• Bethann Boddum Coffin, M.A., CCC-SLP
• Carly Faye Coffman
• Aaron S. Cohen, PH.D.
• Alan Robert Cohen, MD
• Arielle Miranda Cohen
• Ayelet Cohen, NP
• Barbara Cohen, PYSD, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.