ELISSA KATE KOZLOV PHD
NPI 1518472398
Psychologist in New York, NY
About Elissa Kate Kozlov Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISSA KATE KOZLOV PHD (NPI 1518472398) is an individual psychologist in New York, New York, licensed in New York (022411) and active in the NPI registry since December 2017. She has opted out of Medicare through May 23, 2028.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Elissa Kate Kozlov Phd 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 May 23, 2022 through May 23, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elissa Kozlov's NPI number?
The NPI number for Elissa Kozlov is 1518472398. It was assigned to this individual provider in the NPPES registry on December 3, 2017.
Where is Elissa Kozlov located?
Elissa Kozlov practices at 1745 Broadway Fl 17, New York, NY 10019. The listed phone number is (212) 851-8100.
What is Elissa Kozlov's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Elissa Kozlov enrolled in Medicare?
No. Elissa Kozlov has opted out of Medicare through May 23, 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 Elissa Kozlov was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.