Individual provider Active NPI

Louis John Cozolino II, PH.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1841550928
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10266 Issued in CA
Practice address
360 N Bedford Dr
Suite 312
Beverly Hills, CA 90210-5129
Phone
(310) 273-6248
NPI assigned
May 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2012

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 PSY10266 CA Primary

Addresses

Primary practice location

360 N Bedford Dr
Suite 312
Beverly Hills, CA 90210-5129

Mailing address

360 North Bedford Drive
Suite 312
Beverly Hills, CA 90210-5121
Phone (310) 273-6248

Other names 1

  • Dr. Louis John Cozolino II Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY10266CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1841550928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 NORTH BEDFORD DRIVE",
            "address_2": "SUITE 312",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105121",
            "telephone_number": "310-273-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N BEDFORD DR",
            "address_2": "SUITE 312",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105129",
            "telephone_number": "310-273-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZOLINO",
        "first_name": "LOUIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIS",
            "last_name": "COZOLINO",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.