Individual provider Active NPI

Lynn Koza, PH.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1255438842
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 9109 Issued in CA
Practice address
435 N Bedford Dr
Suite 404
Beverly Hills, CA 90210-4321
Phone
(310) 276-1556
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 9109 CA Primary

Addresses

Primary practice location

435 N Bedford Dr
Suite 404
Beverly Hills, CA 90210-4321

Mailing address

435 N Bedford Dr
Suite 404
Beverly Hills, CA 90210-4321
Phone (310) 276-1556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070129000825 CA Practitioner - Clinical Psychologist 2961403217 Practice locations: Los Angeles, CA; Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Chicago, Pritzker School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9777 Wilshire Blvd
Suite 903
Beverly Hills, CA 90212-1902
Phone (310) 276-1556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 9109CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1255438842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR",
            "address_2": "SUITE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104321",
            "telephone_number": "310-276-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N BEDFORD DR",
            "address_2": "SUITE 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104321",
            "telephone_number": "310-276-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZA",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 9109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.