Individual provider Active NPI

Junko Kozu, PH.D.

  • Clinical Psychologist
  • Seattle, WA
National Provider Identifier
1841355211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2928 Issued in WA
Practice address
2025 1St Ave
Suite 720
Seattle, WA 98121-2158
Phone
(206) 227-4913
NPI assigned
Dec 26, 2006
Sex
Female
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY2928 WA Primary
Clinical Psychologist 103TC0700X PSY18750 CA

Addresses

Primary practice location

2025 1St Ave
Suite 720
Seattle, WA 98121-2158

Mailing address

2025 1St Ave
Suite 720
Seattle, WA 98121-2158
Phone (206) 227-4913

Medicare participation

Medicare enrollment files
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 Sep 13, 2023 through Sep 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY18750CAMDClinical Psychologist
PY2928WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841355211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 1ST AVE",
            "address_2": "SUITE 720",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212158",
            "telephone_number": "206-227-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 1ST AVE",
            "address_2": "SUITE 720",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212158",
            "telephone_number": "206-227-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZU",
        "first_name": "JUNKO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY2928",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.