Miramar Garcia Cohn, PHD
Individual provider Active NPI Clinical Psychologist · Tulsa, OK
NPI 1942386396 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942386396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 779 (OK)
- Practice address
- 8908 S Yale
403
Tulsa, OK 74137 - Phone
- (918) 523-0400
- Fax
- (918) 523-0401
- NPI assigned
- Oct 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8908 S Yale Ave
Suite 403
Tulsa, OK 74137-3545
Phone (918) 523-0400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120625000355 | OK | Practitioner - Clinical Psychologist | 2365607355 | Practice locations: Tulsa, OK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 779 | OK | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 779 | OK | Yes |
Addresses
Primary practice location
8908 S Yale
403
Tulsa, OK 74137
Mailing address
8908 S Yale
403
Tulsa, OK 74137
Phone (918) 523-0400
Other providers in Tulsa, OK
- William Cohen
- Lindsay Cohenour
- Amy Farrar Cohlmia
- Cohmed PLLC
- Jacob Cohn
- Rebecca L Cokeley
- Douglas Steven Coker
- Gregg Coker
- Rafe Coker
- Raquel D Colbert-Dawson
All providers in Tulsa, OK · Clinical Psychologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.