DR. MICHAEL KOZLOWSKI PH.D.
NPI 1770864688
Psychologist in Oregon City, OR

Active since September 06, 2011PECOS EnrolledAccepts Medicare Assignment
619 MADISON ST STE 108, OREGON CITY, OR 97045(503) 303-4257 Get Directions Write a Review

NPPES record last updated: September 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2022, May 26, 2022, Aug 4, 2020 (3 updates tracked since 2020).

About Dr. Michael Kozlowski Ph.d. NPPES

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

DR. MICHAEL KOZLOWSKI PH.D. (NPI 1770864688) is an individual psychologist in Oregon City, Oregon, licensed in Oregon (3405) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770864688
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL KOZLOWSKICredential: PH.D.
Location Address619 MADISON ST STE 108Oregon City, OR 97045-2354
Mailing Address619 Madison St Ste 108Oregon City, OR 97045-2354 · (503) 303-4257
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 6, 2011
Last NPPES UpdateSeptember 3, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2022
✔ NPI 1770864688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OR · 3405
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3588 (OR)
619 MADISON ST STE 108, Oregon City, OR 97045

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Kozlowski Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375084262
PECOS Enrollment IDI20240918004159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Kozlowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1511 DIVISION ST STE 101
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

Clinical Neuropsychologist
619 MADISON ST STE 108
OREGON CITY, OR 97045
Clinic/Center
619 MADISON ST STE 108
OREGON CITY, OR 97045
Psychologist (Clinical)
619 MADISON ST STE 108
OREGON CITY, OR 97045
Psychologist (Clinical)
619 MADISON ST STE 108
OREGON CITY, OR 97045
Psychologist (Clinical)
619 MADISON ST STE 108
OREGON CITY, OR 97045
Clinical Neuropsychologist
619 MADISON ST STE 108
OREGON CITY, OR 97045

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 Michael Kozlowski's NPI number?

The NPI number for Michael Kozlowski is 1770864688. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Michael Kozlowski located?

Michael Kozlowski practices at 619 Madison St Ste 108, Oregon City, OR 97045. The listed phone number is (503) 303-4257.

What is Michael Kozlowski's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Kozlowski enrolled in Medicare?

Yes. Michael Kozlowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Kozlowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kozlowski reassigns Medicare benefits to Providence Health & Services Oregon (Oregon City, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Kozlowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kozlowski accept?

Health plans from Moda Health Plan, Inc. list Michael Kozlowski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Kozlowski was last updated on September 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.