Judith Ann Bozzo, MPA/HEALTH CARE

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

330279 Issued in MI

Practice address

909 N Washington Ave
Lansing, MI 48906-5137

Phone

(517) 484-5526

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1902577489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N. MAGNOLIA AVE",
            "address_2": "909 N. WASHINGTON AVE.",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123024",
            "telephone_number": "517-614-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N WASHINGTON AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065137",
            "telephone_number": "517-484-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZO",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MPA/HEALTH CARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "330279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PPE",
            "affiliation": "N",
            "endpointDescription": "personal PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health information",
            "address_1": "909 N Washington Ave",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489065137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monique Boykins
• Madison Boyle
• Maura Elizabeth Boyle, RPH
• Cynthia S. Boynton, M.D.
• Boysville of Michigan, Inc.
• Tammie Bozzo
• Sarah Brabant
• Alexander Brace
• Domonique Brace
• Ellen Brace, BCBA

• Addiction (Substance Use Disorder) Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.