Provider Demographics
NPI:1144006990
Name:COGNITIVE WORKSHOP
Entity type:Organization
Organization Name:COGNITIVE WORKSHOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BONAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-520-5647
Mailing Address - Street 1:24 MADISON LN
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4409
Mailing Address - Country:US
Mailing Address - Phone:856-520-5647
Mailing Address - Fax:
Practice Address - Street 1:24 MADISON LN
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4409
Practice Address - Country:US
Practice Address - Phone:856-520-5647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty