Peter Kozel, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10402768-2501 Issued in UT

Practice address

2215 Forest Hills Dr Ste 38
Harrisburg, PA 17112-1099

Phone

(717) 540-5353

NPI assigned

Jun 2, 2021

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

State licenses

Practice roles

Locations

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.

• Commonwealth Affiliated Services, Inc

  • Neurology Physician
  • Harrisburg, PA
  • NPI 1225125479

  Clinical

  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1992371785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SIMON CT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170508526",
            "telephone_number": "724-467-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FOREST HILLS DR STE 38",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121099",
            "telephone_number": "717-540-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZEL",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "10402768-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silpa Kosuri, M.D.
• Kelly Elizabeth Kotz, PA-C
• Jadd Wadi Koury, MD
• Ramsay J Koury, DMD
• Victoria Cecylia Kowalski, LSW
• Beverley Kozuch, D.O.
• Sia Kpakiwa, B.S.
• Katharyn L Kraemer, CNM
• Caroline Weinert Krall, ED.M, LPC, NCC
• Michael Patrick Krall, D.O.

• Clinical Psychologist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.