DR. KATHLEEN DIANE KOZMA PH.D.
NPI 1194930248
Psychologist - Clinical in Ashburn, VA

Active since May 11, 2007Opted out of Medicare · through Mar 29, 2028
20604 GORDON PARK SQ, #190, ASHBURN, VA 20147(703) 726-7544 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kathleen Diane Kozma Ph.d. NPPES

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

DR. KATHLEEN DIANE KOZMA PH.D. (NPI 1194930248) is an individual clinical provider in Ashburn, Virginia, licensed in Virginia (0810002029) and active in the NPI registry since May 2007. She has opted out of Medicare through March 29, 2028.

NPPES Registry Identity

NPI1194930248
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHLEEN DIANE KOZMACredential: PH.D.
Location Address20604 GORDON PARK SQ, #190Ashburn, VA 20147-3143
Mailing Address20604 Gordon Park Sq, #190Ashburn, VA 20147-3143 · (703) 726-7544
Sole ProprietorYes
Enumeration DateMay 11, 2007
Last NPPES UpdateMarch 19, 2013
NPI 1194930248 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 VA · 0810002029
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.

20604 GORDON PARK SQ, Ashburn, VA 20147

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kathleen Diane Kozma Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 29, 2024 through March 29, 2028.

Opt-Out Effective DateMarch 29, 2024
Opt-Out In Effect ThroughMarch 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kathleen Kozma's NPI number?

The NPI number for Kathleen Kozma is 1194930248. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Kathleen Kozma located?

Kathleen Kozma practices at 20604 Gordon Park Sq #190, Ashburn, VA 20147. The listed phone number is (703) 726-7544.

What is Kathleen Kozma's specialty?

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

Is Kathleen Kozma enrolled in Medicare?

No. Kathleen Kozma has opted out of Medicare through March 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathleen Kozma was last updated on March 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.