Active NPI
Michael Cohen, PH.D.
- Rehabilitation Psychologist
- Norwalk, CT
National Provider Identifier
1871982942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 002689
- Practice address
- 10 Wall St
Norwalk, CT 06850-3438 - Phone
- (203) 360-2354
- Fax
- (203) 381-9396
- NPI assigned
- Jan 13, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 002689 | CT | Primary |
| Rehabilitation Psychologist | 103TR0400X | 015371 | NY |
Addresses
Primary practice location
10 Wall St
Norwalk, CT 06850-3438
Mailing address
10 Wall St
Norwalk, CT 06850-3438
Phone (203) 360-2354
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 |
|---|---|---|---|
| 015371 | NY | MD | Rehabilitation Psychologist |
| 2689 | CT | MD | Marriage & Family Therapist |
| 2689 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1871982942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WALL ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503438",
"telephone_number": "203-360-2354",
"fax_number": "203-381-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WALL ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503438",
"telephone_number": "203-360-2354",
"fax_number": "203-381-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "CT",
"license": "002689",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NY",
"license": "015371",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.