Provider Demographics
NPI:1861617789
Name:COX, ADAM J (PHD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:COX
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3964 MAIN RD
Mailing Address - Street 2:FLOOR 3
Mailing Address - City:TIVERTON
Mailing Address - State:RI
Mailing Address - Zip Code:02878-4809
Mailing Address - Country:US
Mailing Address - Phone:401-816-5900
Mailing Address - Fax:401-816-5901
Practice Address - Street 1:3964 MAIN RD
Practice Address - Street 2:FLOOR 3
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878-4809
Practice Address - Country:US
Practice Address - Phone:401-816-5900
Practice Address - Fax:401-816-5901
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIPS01041103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
058623Medicare ID - Type UnspecifiedGROUP