Jeremy Kozne, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006388 Issued in VA

Practice address

2000 15TH St N Ste 200
Arlington, VA 22201-2627

Phone

(707) 988-6861

NPI assigned

May 13, 2016

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Capital Therapist Collective PLLC

  • Clinical Psychologist
  • Washington, DC
  • NPI 1366191843
  NPD Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1790132223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N STE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012627",
            "telephone_number": "707-988-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N STE 200",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012627",
            "telephone_number": "707-988-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZNE",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meno Mazemda Kouakeu, NP
• Sandra N/a Kouefati
• Farzana Kousar, AGPNP
• Hedieh Kousedghi
• Susan Thomas Kozel, M.D.
• Eric Marcus Kraff, O.D.
• Kathleen E Kramer, PA-C
• Lainie Kramer
• Phyllis L Kramer, OT
• Cheryl Lee Krause

• Clinical Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.