IRENEUS JEROME KOZAK (NPI# 1417165119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417165119 |
| Entity Type | Individual |
| Full Name | IRENEUS JEROME KOZAK |
| Credential | ATR |
| Practice Address |
28494 Walker Ave Warren MI 48092-2543 |
| Practice Telephone | 7346572237 |
| Mailing Telephone | 7346572237 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 221700000X | Art Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
28494 WALKER AVE |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 221700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Art Therapist |
| (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 107. (2) Art Therapy Program, Marymount College, Tarrytown, NY (3) National Coalition of Arts |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011211 | Taylor Beardsall | Art Therapist | 21220 W 14 Mile Rd, Bloomfield Hills, MI 48301-4000 | 2020-10-20 |
| 1144835166 | Artfully Centered, LLC | Art Therapist | 5920 Vandercook St, Monroe, MI 48161-3747 | 2020-09-15 |
| 1639719321 | Jodi Rachelle Leib | Art Therapist | 4518 Walden Dr, Bloomfield Hills, MI 48301-1149 | 2020-01-09 |
| 1295207389 | Molly Diana | Art Therapist | 432 Charlevoix St, Clawson, MI 48017-2036 | 2018-12-30 |
| 1760778179 | Erin Shahly | Art Therapist | 1316 Campbell Rd., Suite # 140, Royal Oak, MI 48067 | 2011-06-23 |
| 1942448790 | Katherine Marie Munter | Art Therapist | 308 Skydale Dr, Ann Arbor, MI 48105-1137 | 2009-02-02 |
| 1679783922 | Karin Elizabeth Mccaul | Art Therapist | 28484 Bayberry Rd, Farmington Hills, MI 48331-2761 | 2007-05-23 |
| 1922216209 | Tih H. Penfil | Art Therapist | 1676 Myrtle Ave, Madison Hts, MI 48071-3060 | 2007-05-18 |
| 1154538908 | Margaret Mary Mcguinness | Art Therapist | 1950 Trumbull St, Detroit, MI 48216-1529 | 2007-05-17 |
| 1841365350 | Cynthia Diane O'flynn | Art Therapist | 1200 Stephenson Hwy, Troy, MI 48083-1115 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.