Individual provider Active NPI

Lawrence Steven Cohen, M.D.

  • Psychiatry Physician
  • Berkeley, CA
National Provider Identifier
1952528598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A42749 Issued in CA
Practice address
2041 Bancroft Way
Suite 307-310
Berkeley, CA 94704-1405
Phone
(510) 981-9141
Fax
(510) 649-1133
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A42749 CA Primary

Addresses

Primary practice location

2041 Bancroft Way
Suite 307-310
Berkeley, CA 94704-1405

Mailing address

2041 Bancroft Way
Suite 307-310
Berkeley, CA 94704-1405
Phone (510) 981-9141

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000244 CA Practitioner - Psychiatry 0143492173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Psychiatric AssociatesGroup PAC ID 6204723331, 60 clinicians

Practice addresses (Care Compare)

2001 Dwight Way
RM 4190
Berkeley, CA 94704-2608
Phone (510) 204-4635

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42749CAMDProsthodontist
A42749CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Psychiatric Associates Psychiatry CurrentSince Sep 3, 2011 Accepting new patients

Locations

2001 Dwight Way
Ste 4190
Berkeley, CA 94704
Phone (510) 204-4635

2020 Milvia St
Ste 300
Berkeley, CA 94704
Phone (510) 843-2220

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952528598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 BANCROFT WAY",
            "address_2": "SUITE 307-310",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041405",
            "telephone_number": "510-981-9141",
            "fax_number": "510-649-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BANCROFT WAY",
            "address_2": "SUITE 307-310",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041405",
            "telephone_number": "510-981-9141",
            "fax_number": "510-649-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LAWRENCE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A42749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.