Active NPI
Keith N. Cohen, PH.D
- Psychologist
- Westwood, MA
National Provider Identifier
1881767705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3372
- Practice address
- 805 High St
Westwood, MA 02090-2539 - Phone
- (781) 329-9115
- Fax
- (781) 329-9181
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3372 | MA | Primary |
Addresses
Primary practice location
805 High St
Westwood, MA 02090-2539
Mailing address
449 Lowell Ave Apt 9
Newtonville, MA 02460-2115
Phone (617) 527-5072
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3372 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881767705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 LOWELL AVE APT 9",
"city": "NEWTONVILLE",
"state": "MA",
"postal_code": "024602115",
"telephone_number": "617-527-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902539",
"telephone_number": "781-329-9115",
"fax_number": "781-329-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "KEITH",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.