Individual provider Active NPI

Erich L. Kosowitz, PH.D.

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1649341900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
08100000901 Issued in VA
Practice address
100 E South St Ste 5
Charlottesville, VA 22902-5217
Phone
(434) 971-4747
Fax
(434) 293-4690
NPI assigned
Nov 10, 2006
Sex
Male
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
Clinical Psychologist 103TC0700X 08100000901 VA Primary

Addresses

Primary practice location

100 E South St Ste 5
Charlottesville, VA 22902-5217

Mailing address

100 E South St Ste 5
Charlottesville, VA 22902-5217
Phone (434) 971-4747

Other identifiers 1

IdentifierTypeStateIssuer
7798661MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000917 VA Practitioner - Clinical Psychologist 0446407480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 E S St
Suite 5
Charlottesville, VA 22902-5217
Phone 4349714747111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
08100000901VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Erich L. Kosowitz, PH.D., P.C. Clinical CurrentSince Jan 1, 1996 Accepting new patients

Locations

100 E South St
Ste 5
Charlottesvle, VA 22902
Phone (434) 971-4747

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649341900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST STE 5",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025217",
            "telephone_number": "434-971-4747",
            "fax_number": "434-293-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SOUTH ST STE 5",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025217",
            "telephone_number": "434-971-4747",
            "fax_number": "434-293-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOWITZ",
        "first_name": "ERICH",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "08100000901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7798661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.