Alicia Teresa Rozycki, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY9817 Issued in FL

Practice address

559 Vincent St
Attn: 21 MDS - Sgof
Peterson Afb, CO 80914-1540

Phone

(719) 567-4489

Fax

(877) 813-1756

NPI assigned

May 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Department of State Health Services

  • Clinic/Center
  • San Antonio, TX
  • NPI 1316000144
  NPD (past)
• Southern Baptist Hospital of Florida Inc

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1841351632
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1083848147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "ATTN: 21 MDS - SGOF",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-567-4489",
            "fax_number": "877-813-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "ATTN: 21 MDS - SGOF",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-567-4489",
            "fax_number": "877-813-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7337 Bunker Ct",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322444464",
            "country_code": "US",
            "telephone_number": "325-236-1995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8355 Merchants Gate Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322225848",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 MDG / SGHQ 559 Vincent St, Bldg 959",
            "address_purpose": "LOCATION",
            "city": "Peterson AFB",
            "state": "CO",
            "postal_code": "80914",
            "country_code": "US",
            "telephone_number": "719-556-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZYCKI",
        "first_name": "ALICIA",
        "middle_name": "TERESA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY9817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Reggio, WHNP
• Edith Marie Reichert, CFNP
• Jessica L Roberts, RN
• Shannon Dobelbower Roberts, D.D.S.
• Mark Rolsten, PSYD
• Amy Lynn Ruff, NP
• Melissa Runge, M.D.
• Amber Lynn Scouton
• Phillip John Sheridan
• Brian David Sherman, PHARMD

• Counseling Psychologist in Peterson Afb, CO
• Providers in Peterson Afb, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.