Thomas Michael Kozak, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2-4182 Issued in TX

Practice address

1001 Medical Plaza Dr.
Suite 190
The Woodlands, TX 77380-3210

Phone

(281) 367-0733

Fax

(281) 298-1915

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 May 23, 2018 through May 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366549677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PLAZA DR.",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803210",
            "telephone_number": "281-367-0733",
            "fax_number": "281-298-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PLAZA DR.",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803210",
            "telephone_number": "281-367-0733",
            "fax_number": "281-298-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZAK",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-4182",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301004037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Rose Kolbuck, PTA
• Alix Nicole Kornegay, AUD
• Christopher David Kosarek, MD
• Lily Ann Koscielniak, PA-C
• Ashley Kovar
• Christina Lynn Kraatz, M.ED., NCC., LPC
• Brett Kramer, DO
• Kevin Kranson, LPC ASSOCIATE
• Christina Kranz
• Christina Destefano Krebs, PTA

• Psychologist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Psychologist in Texas

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.