Provider Demographics
NPI:1316793078
Name:COGNITIVEWORKS INSTITUTE LLC
Entity type:Organization
Organization Name:COGNITIVEWORKS INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OT MHA
Authorized Official - Phone:973-214-8073
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:BROOKSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07926-0194
Mailing Address - Country:US
Mailing Address - Phone:973-214-8073
Mailing Address - Fax:
Practice Address - Street 1:23 GRAND AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1347
Practice Address - Country:US
Practice Address - Phone:973-214-8073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty