Individual provider Active NPI

Alexander Kozlovsky, M.D.

  • Psychiatry Physician
  • Salem, MA
National Provider Identifier
1679531297
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
155763 Issued in MA
Practice address
81 Highland Avenue
North Shore Medical Center
Salem, MA 01907
Phone
(978) 354-4010
NPI assigned
May 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 155763 MA Primary

Addresses

Primary practice location

81 Highland Avenue
North Shore Medical Center
Salem, MA 01907

Mailing address

150 Lynnway
Apt# 702
Lynn, MA 01902-3498
Phone (978) 354-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000874 MA Practitioner - Psychiatry 5496738205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Square Medical Group LLCGroup PAC ID 6608991187, 16 clinicians

Practice addresses (Care Compare)

884 Washington St
FL1 Weymouth Primary Care and Counseling
Weymouth, MA 02189-1527
Phone (781) 812-1643

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Square Medical Group LLC CurrentSince May 3, 2021 Accepting new patients
Child and Family Psychological Services, PLLC Psychiatry CurrentSince Sep 19, 2018 Accepting new patients
NSPG Billing LLC Past Accepting new patients
Non-Surgical Orthopedic Center Past Accepting new patients

Locations

22 Mill St
Ste 4
Arlington, MA 02476
Phone (781) 246-0500

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766

884 Washington St
Fl 1
Weymouth, MA 02189
Phone (781) 812-1643

884 Washington St
Fl 2
Weymouth, MA 02189
Phone (617) 447-2146

12 Alfred St
Ste 200
Woburn, MA 01801
Phone 7816460500 ext. 112

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679531297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LYNNWAY",
            "address_2": "APT# 702",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023498",
            "telephone_number": "978-354-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVENUE",
            "address_2": "NORTH SHORE MEDICAL CENTER",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "978-354-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOVSKY",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "155763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.