Individual provider Active NPI

Linda Pepper Kozitza, PH.D.

  • Psychologist
  • Novato, CA
National Provider Identifier
1457403776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY12132 Issued in CA
Practice address
3 Hamilton LNDG Ste 230
Novato, CA 94949-2848
Phone
(415) 883-8332
Fax
(415) 883-8385
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY12132 CA Primary

Addresses

Primary practice location

3 Hamilton LNDG Ste 230
Novato, CA 94949-2848

Mailing address

3 Hamilton LNDG Ste 230
Novato, CA 94949-2848
Phone (415) 883-8332

Other names 1

  • Linda Kozitza Pepper Professional name

Medicare participation

Medicare enrollment files
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 Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12132CAMDMental Health Counselor
PSY12132CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonnee Weedn, PHD, a Professional Corporation Psychologist Past Accepting new patients
Sonnee Weedn, PH.D., Professional Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457403776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HAMILTON LNDG STE 230",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949492848",
            "telephone_number": "415-883-8332",
            "fax_number": "415-883-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HAMILTON LNDG STE 230",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949492848",
            "telephone_number": "415-883-8332",
            "fax_number": "415-883-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZITZA",
        "first_name": "LINDA",
        "middle_name": "PEPPER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "PEPPER",
            "middle_name": "KOZITZA",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.