Active NPI
Sheila Kay Kozler Sr., PSYD
- Clinical Psychologist
- Fort Atkinson, WI
National Provider Identifier
1508074030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2574-057
- Practice address
- 1550 Madison Ave
Suite # 102-104
Fort Atkinson, WI 53538-3162 - Phone
- (920) 723-0307
- NPI assigned
- May 18, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2574-057 | WI | Primary |
Addresses
Primary practice location
1550 Madison Ave
Suite # 102-104
Fort Atkinson, WI 53538-3162
Mailing address
N3657 County Road a
Fort Atkinson, WI 53538-9759
Phone (920) 723-0307
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2574-057 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1508074030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N3657 COUNTY ROAD A",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535389759",
"telephone_number": "920-723-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 MADISON AVE",
"address_2": "SUITE # 102-104",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535383162",
"telephone_number": "920-723-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZLER",
"first_name": "SHEILA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2574-057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.