MEDICARE: DR. ARNOLD MICHAEL COHEN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	4688	MA
2	103TC0700X	Clinical Psychologist	W04516	MA

General Provider Information

NPI Number	:	1821088980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD MICHAEL COHEN PHD

Provider Business Mailing Address
First Line	:	19 MOUNTFORT ROAD
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02461
Country	:	US
Telephone Number	:	617-965-7244
Fax Number	:	617-641-0081

Provider Business Practice Location Address
First Line	:	19 MOUNTFORT ROAD
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02461
Country	:	US
Telephone Number	:	617-965-7244
Fax Number	:	617-641-0081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	09/11/2025

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