Karyn Brasky Kozy, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009050 Issued in IL

Practice address

1415 Bond St
Suite 127
Naperville, IL 60563-2388

Phone

(630) 355-9002

Fax

(630) 355-9012

NPI assigned

Apr 7, 2015

Last updated

Apr 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 Feb 17, 2016 through Feb 17, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Karyn Brasky Kozy LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Naperville, IL
  • NPI 1619750775
  NPD Authorized official
• Dr Susan B Myket PC

  dba Susan Myket, PH.D. & Associates

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1457570251
  NPD (past)
• New Day Treatment Program PC

  • Counseling Psychologist
  • Naperville, IL
  • NPI 1326308545
  NPD (past)

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1568858496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BOND ST",
            "address_2": "SUITE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632388",
            "telephone_number": "630-355-9002",
            "fax_number": "630-355-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BOND ST",
            "address_2": "SUITE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632388",
            "telephone_number": "630-355-9002",
            "fax_number": "630-355-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZY",
        "first_name": "KARYN",
        "middle_name": "BRASKY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Kowalski, M.D.
• Carolyn A Koziol, PT
• Megan M Koziol, MOT, OTR/L
• Rachel Koziol, MA, LCPC
• Julie Lorraine Kozlowski, CNS
• Emily Krachenfels, PA-C
• Cheryl Ann Krafft-Mealle, PT
• Anita Marie Krajecki, RNC-LRN, BSN, IBCLC
• April Krakar, FNP
• Beth Krasowski

• Clinical Psychologist in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.