Individual provider Active NPI

Julia Beth Cohen, PHD.

  • Clinical Psychologist
  • Laguna Niguel, CA
National Provider Identifier
1891776134
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
CP7673 Issued in CA
Practice address
30011 Ivy Glenn Dr
Suite 206
Laguna Niguel, CA 92677-5014
Phone
(949) 859-8335
Fax
(949) 249-1993
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY7673 CA
Clinical Psychologist 103TC0700X CP7673 CA Primary

Addresses

Primary practice location

30011 Ivy Glenn Dr
Suite 206
Laguna Niguel, CA 92677-5014

Mailing address

30011 Ivy Glenn Dr
Suite 206
Laguna Niguel, CA 92677-5014
Phone (949) 859-8335

Other names 1

  • Julie Beth Cohen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000059 CA Practitioner - Clinical Psychologist 3274713425 Practice locations: Laguna Niguel, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Firenze St
Laguna Niguel, CA 92677-8830
Phone (949) 859-8335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CP7673CAMDClinical Psychologist
PSY7673CAMDClinical Psychologist
7673CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KR Psychological Services, Inc Clinical PastSince Jan 17, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1891776134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "SUITE 206",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-859-8335",
            "fax_number": "949-249-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "SUITE 206",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-859-8335",
            "fax_number": "949-249-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JULIA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7673",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CP7673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "COHEN",
            "middle_name": "BETH",
            "credential": "PHD.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.