Individual provider Active NPI

Bozena Szajkowksa

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Mount Vernon, NY
National Provider Identifier
1477269819
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
29617101 Issued in NY
Practice address
9 W Prospect Ave Ste 309
Mount Vernon, NY 10550-2049
Phone
(914) 699-0022
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 29617101 NY Primary

Addresses

Primary practice location

9 W Prospect Ave Ste 309
Mount Vernon, NY 10550-2049

Mailing address

107 Saugatuck Ave Apt a
Westport, CT 06880-5753
Phone (203) 273-2387

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29617101NYMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Home Health Care Inc CurrentSince Feb 8, 2023 Accepting new patients

Locations

9 W Prospect Ave
Ste 309
Mount Vernon, NY 10550
Phone (914) 668-9124

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1477269819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SAUGATUCK AVE APT A",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805753",
            "telephone_number": "203-273-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W PROSPECT AVE STE 309",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502049",
            "telephone_number": "914-699-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAJKOWKSA",
        "first_name": "BOZENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NY",
            "license": "29617101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.