Active NPI
Mary M Kozy, CNS
- Adult Psychiatric/Mental Health Registered Nurse
- Sylvania, OH
National Provider Identifier
1336455831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- COA.02716-NS
- Practice address
- 6832 Convent Blvd
Sylvania, OH 43560-4805 - Phone
- (419) 882-4529
- Fax
- (419) 885-0203
- NPI assigned
- Aug 23, 2010
- Last updated
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | COA.02716-NS | OH | Primary |
Addresses
Primary practice location
6832 Convent Blvd
Sylvania, OH 43560-4805
Mailing address
6832 Convent Blvd
Sylvania, OH 43560-4805
Phone (419) 882-4529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sophia Counseling Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1336455831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6832 CONVENT BLVD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435604805",
"telephone_number": "419-882-4529",
"fax_number": "419-885-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6832 CONVENT BLVD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435604805",
"telephone_number": "419-882-4529",
"fax_number": "419-885-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZY",
"first_name": "MARY",
"middle_name": "M",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "OH",
"license": "COA.02716-NS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.