Active NPI
Elena Kozlova, PHD
- Psychologist
- Mountain View, CA
National Provider Identifier
1487182101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY29195
- Practice address
- 1061 El Monte Ave Ste B
Mountain View, CA 94040-2396 - Phone
- (831) 297-0567
- Fax
- (650) 966-1807
- NPI assigned
- May 25, 2017
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY29195 | CA | Primary |
Addresses
Primary practice location
1061 El Monte Ave Ste B
Mountain View, CA 94040-2396
Mailing address
1061 El Monte Ave Ste B
Mountain View, CA 94040-2396
Phone (831) 297-0567
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29195 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487182101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 EL MONTE AVE STE B",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402396",
"telephone_number": "831-297-0567",
"fax_number": "650-966-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 EL MONTE AVE STE B",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402396",
"telephone_number": "831-297-0567",
"fax_number": "650-966-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLOVA",
"first_name": "ELENA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY29195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.