Active NPI
Michael Frederick Kozart
- Psychiatry Physician
- Santa Rosa, CA
National Provider Identifier
1013060888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G80689
- Practice address
- 3322 Chanate Rd
Santa Rosa, CA 95404-1708 - Phone
- (707) 565-4970
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G80689 | CA | Primary |
Addresses
Primary practice location
3322 Chanate Rd
Santa Rosa, CA 95404-1708
Mailing address
3322 Chanate Rd
Santa Rosa, CA 95404-1708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Perelman School of Med at the University of Pennsylvania, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West County Health Centers, Inc.
Practice addresses (Care Compare)
PO Box
Suite 1449
Guerneville, CA 95446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sonoma | Current | Accepting new patients | |
| County of Sonoma | Current | Accepting new patients |
Locations
1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-4131
2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101
3322 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 565-4970
Interoperability endpoints
- michael.kozart@wchealth.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Cloverdale, CA
- NPI 1952637027
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1306050828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013060888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041708",
"telephone_number": "707-565-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZART",
"first_name": "MICHAEL",
"middle_name": "FREDERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G80689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.