NPI Code Details Logo

NPI 1063033512

NPI 1063033512 : YARDEN YAACOVA COHEN MD : BOCA RATON, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063033512
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    YARDEN YAACOVA COHEN MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/06/2020
-----------------------------------------------------
    Last Update Date     |    08/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7000 W PALMETTO PARK RD STE 407 
-----------------------------------------------------
    City                 |    BOCA RATON
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33433-3425
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-501-1004
-----------------------------------------------------
    Fax                  |    855-919-6172
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3835 N FREEWAY BLVD STE 100 
-----------------------------------------------------
    City                 |    SACRAMENTO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95834-1954
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    916-576-7900
-----------------------------------------------------
    Fax                  |    916-277-9380
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    ME167469
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.