Healthcare Provider Details

I. General information

NPI: 1073486973
Provider Name (Legal Business Name): COGITARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 NORTH PLANK RD SUITE R-2
NEWBURGH NY
12550
US

IV. Provider business mailing address

34 NORTH PLANK RD SUITE R-2
NEWBURGH NY
12550
US

V. Phone/Fax

Practice location:
  • Phone: 845-562-0166
  • Fax: 845-562-0169
Mailing address:
  • Phone: 845-562-0166
  • Fax: 845-562-0169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAURA F VAN DE LAAR
Title or Position: OWNER/PRACTITIONER
Credential: NP-P
Phone: 845-323-9128