BLAKE KOZLOWSKI
NPI 1053299131
Psychologist - Clinical in Royal Oak, MI

Active since August 26, 2025
25600 WOODWARD AVE STE 109, ROYAL OAK, MI 48067(574) 302-7443 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake Kozlowski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE KOZLOWSKI (NPI 1053299131) is an individual clinical provider in Royal Oak, Michigan, licensed in Michigan (6362009995) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1053299131
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameBLAKE KOZLOWSKI
Location Address25600 WOODWARD AVE STE 109Royal Oak, MI 48067-0944
Mailing Address346 George StTrenton, MI 48183-2144
Sole ProprietorNo
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1053299131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6362009995
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
25600 WOODWARD AVE STE 109, Royal Oak, MI 48067

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
25600 WOODWARD AVE STE 109
ROYAL OAK, MI 48067
Psychologist
25600 WOODWARD AVE STE 109
ROYAL OAK, MI 48067
Psychologist (Clinical)
25600 WOODWARD AVE STE 109
ROYAL OAK, MI 48067
Psychologist
25600 WOODWARD AVE STE 109
ROYAL OAK, MI 48067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Kozlowski's NPI number?

The NPI number for Blake Kozlowski is 1053299131. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Blake Kozlowski located?

Blake Kozlowski practices at 25600 Woodward Ave Ste 109, Royal Oak, MI 48067. The listed phone number is (574) 302-7443.

What is Blake Kozlowski's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Blake Kozlowski was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.