DR. JACK IRA COHEN (NPI# 1891702361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891702361 |
| Entity Type | Individual |
| Full Name | DR. JACK IRA COHEN |
| Credential | PSY.D |
| Practice Address |
3 Shelby Road East Northport NY 11731-4819 |
| Practice Telephone | 6312665759 |
| Practice Fax Number | 6312663683 |
| Mailing Telephone | 6312665759 |
| Mailing Fax Number | 6312663683 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 008541 | NY | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
008541 | NY | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
008541 | NY | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
008541 | NY | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 008541 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAGELLAN BEHAVIORAL HEALT | 14209800 | 01 | |
| VALUE OPTIONS | 116824 | 01 | |
| VYTRA HEALTH PLANS | 117859 | 01 | |
| HTP | 205333P | 01 | |
| AETNA | 5085654 | 01 | |
| NY | N Y STATE WORKERS' COMPEN | S08541 | 01 |
| SELECT PRO | SF0000032 | 01 | |
| BLUE CROSS BLUE SHIELD | V41821 | 01 | |
| MANAGED HEALTH NETWORK | 165521 | 01 | |
| OXFORD HEALTH PLANS | A5097 | 01 | |
| GHI | 0036133 | 01 | |
| BLUE CROSS BLUE SHIELD | V41822 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2350 Ocean Ave Apt 2f, Brooklyn, NY 112293043 | 7183683394 | 6312663683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775658 | Jack B Cohen | Anesthesiology | Broad and Vine Sts, Ms 310, Phila, PA 19102 | 2005-10-24 |
| 1720084577 | Jack E Cohen | Orthopaedic Surgery | 1555 Kingsley Ave, Ste 201, Orange Park, FL 32073-9202 | 2005-06-27 |
| 1972647246 | Jack Cohen | Podiatrist | 524 Arthur Godfrey Rd, Ste 204, Miami Beach, FL 33140-3520 | 2007-02-19 |
| 1295788008 | Jack Robert Cohen | Internal Medicine | 909 N Miami Beach Blvd, Suite 302, North Miami Beach, FL 33162-3712 | 2006-05-19 |
| 1134188279 | Jack B Cohen | Dermatology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-18 |
| 1902895709 | Jack A Cohen | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2005-10-14 |
| 1205836947 | Jack A Cohen | Ophthalmology | 71 W 156th St, Ste 400, Harvey, IL 60426-4265 | 2005-07-22 |
| Street Address |
3 SHELBY ROAD |
| City | EAST NORTHPORT |
| State | NY |
| Zip Code | 11731-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675899 | Deborah Carol Kassan | Physical Therapist | 457 Clay Pitts Road, East Northport, NY 11731 | 2020-09-30 |
| 1952923401 | Angela Marie Trapani | Psychologist | 34 Ashwood Ct, East Northport, NY 11731 | 2020-05-07 |
| 1013492016 | Kim Cooke | Social Worker | 42 Rofay Drive, East Northport, NY 11731 | 2018-09-26 |
| 1588163547 | Christine Catherine Ambrosio | Specialist | 229 Laured Rd East, East Northport, NY 11731 | 2018-02-06 |
| 1043729965 | Gavin Theofield | Social Worker | 418 2nd Avenue W, East Northport, NY 11731 | 2017-09-22 |
| 1518486489 | Brynn Katherine Maxwell | Specialist | 38 Furwood Drive, East Northport, NY 11731 | 2017-09-12 |
| 1598209934 | Clemencia Naruta | Registered Nurse | 413 Second Street, East Northport, NY 11731 | 2016-12-05 |
| 1033669460 | Danielle Franzone | Social Worker | 1 Klaibar Lane, East Northport, NY 11731 | 2016-10-10 |
| 1619323789 | Camille Martin | Registered Nurse | 5 Gildare Drive, East Northport, NY 11731 | 2016-05-09 |
| 1922467331 | Saadia Z Yunus | Marriage & Family Therapist | 554 Larkfield Rd Ste 10i, East Northport, NY 11731 | 2016-02-12 |
| Find all providers in zip 11731 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923401 | Angela Marie Trapani | Psychologist | 34 Ashwood Ct, East Northport, NY 11731 | 2020-05-07 |
| 1083082341 | Lisa Shapir | Psychologist | 554 Larkfield Rd Ste 204, East Northport, NY 11731-4205 | 2015-09-03 |
| 1518158088 | Dennis M Henderson Psychological Services PC | Psychologist | 12 Gildare Dr, East Northport, NY 11731-3223 | 2007-08-08 |
| 1679795561 | Esterina Dalessio-baez | Psychologist | 554 Larkfield Rd Ste 203, East Northport, NY 11731-4205 | 2007-05-02 |
| 1750421004 | Paul W Morris | Psychologist | 23 Monmouth Dr, East Northport, NY 11731-1332 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST NORTHPORT |
| Zip Code | 11731 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.