Individual provider Active NPI

Amee Kozlovski

  • Psychiatry Physician
  • Mount Vernon, AL
National Provider Identifier
1013243773
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L.3106SI Issued in AL
Practice address
725 E Coy Smith Hwy
Mount Vernon, AL 36560-3322
Phone
(251) 662-6700
NPI assigned
Oct 29, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L.3106SI AL Primary

Addresses

Primary practice location

725 E Coy Smith Hwy
Mount Vernon, AL 36560-3322

Mailing address

PO Box 1090
Mount Vernon, AL 36560-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000616 AL Practitioner - Psychiatry 4880736800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Phone (205) 507-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Dept of Mental Health & Mental Retardation CurrentSince Jul 20, 2019 Accepting new patients
State of Alabama Dept of Finace CurrentSince Jul 20, 2019 Accepting new patients
State of Alabama Dept of Mental Health & Mental Retardation Current Accepting new patients
State of Alabama Dept of Finance Past Accepting new patients

Locations

725 E Coy Smith Hwy
Mount Vernon, AL 36560
Phone (251) 662-6700

1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 507-8000

200 University Blvd
Tuscaloosa, AL 35401
Phone (205) 759-0715

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1013243773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365601090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E COY SMITH HWY",
            "city": "MOUNT VERNON",
            "state": "AL",
            "postal_code": "365603322",
            "telephone_number": "251-662-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVSKI",
        "first_name": "AMEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "L.3106SI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, AL

Sources for this page

Verify at the official NPI Registry.