Dr. Jack Ira Cohen
Psychologist Family Psychologist Clinical Psychologist Adult Development & Aging Psychologist and 1 more
3 Shelby Road
East Northport
, New York 11731-4819
Dr. Jack Ira Cohen
Psychologist Family Psychologist Clinical Psychologist Adult Development & Aging Psychologist and 1 more
3 Shelby Road
East Northport
, New York 11731-4819
(631) 266-3683
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About
Features
Specialties
- Psychologist
- Adult Development & Aging Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jack Ira Cohen
- 3 Shelby Road
- East Northport, NY
- Zip : 11731-4819
- Fax : (631) 266-3683
- Phone : (631) 266-5759
Second Address
- Dr. Jack Ira Cohen
- 3 Shelby Road
- East Northport, NY
- Zip : 11731-4819
- Fax : (631) 266-3683
- Phone : (631) 266-5759
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 008541 | NY |
| Y | 103T00000X | Psychologist | 008541 | NY |
| N | 103TA0700X | Adult Development & Aging Psychologist | ||
| N | 103G00000X | Clinical Psychologist | 008541 | NY |
| N | 103TC0700X | Clinical Psychologist | 008541 | NY |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 008541 | NY |
| N | 103TF0000X | Family Psychologist | 008541 | NY |
National Provider Identifier
| NPI | 1891702361 |
|---|---|
| Provider Name | Dr. Jack Ira Cohen |
| First Address | East Northport, NY 11731-4819 |
| Second Address | East Northport, NY 11731-4819 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0036133 | GHI (01) | |
| 116824 | VALUE OPTIONS (01) | |
| 117859 | VYTRA HEALTH PLANS (01) | |
| 14209800 | MAGELLAN BEHAVIORAL HEALT (01) | |
| 165521 | MANAGED HEALTH NETWORK (01) | |
| 205333P | HTP (01) | |
| 5085654 | AETNA (01) | |
| A5097 | OXFORD HEALTH PLANS (01) | |
| S08541 | N Y STATE WORKERS' COMPEN (01) | NY |
| SF0000032 | SELECT PRO (01) | |
| V41821 | BLUE CROSS BLUE SHIELD (01) | |
| V41822 | BLUE CROSS BLUE SHIELD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.