RAYMOND J KOZIOL (NPI# 1447286653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447286653 |
| Entity Type | Individual |
| Full Name | RAYMOND J KOZIOL |
| Credential | PHD |
| Practice Address |
10 Tower Dr Dean Medical Center Sun Prairie WI 53590-1239 |
| Practice Telephone | 6088253008 |
| Practice Fax Number | 6088253794 |
| Mailing Telephone | 6088253008 |
| Mailing Fax Number | 6088253794 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1850-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH INSURANCE | 4729 | 01 |
| WI | 39752600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497878656 | Raymond S Koziol | Psychiatry & Neurology | 4830 N Port Washington Rd, Milwaukee, WI 53217-5445 | 2007-04-10 |
| Street Address |
10 TOWER DR DEAN MEDICAL CENTER |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013907310 | Melissa Mcgowan Terrill | Optometrist | 10 Tower Dr, Dean Medical Center, Sun Prairie, WI 53590-1239 | 2005-10-27 |
| 1760989982 | Kimberly K Ward | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-04-13 |
| 1205331303 | Laura A. Jacobson | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2018-03-29 |
| 1194242917 | Ashley M Braithwaite | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-08-23 |
| 1609315159 | Kailene L Devries | Physician Assistant | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2017-02-16 |
| 1992250112 | Amanda E Conway | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-17 |
| 1134673783 | Stephanie M Johnson | Nurse Practitioner | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-08-12 |
| 1912361452 | Lindsey W Engel | Family Medicine | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2016-04-11 |
| 1154796357 | Eva Balfanz | Counselor | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2015-12-14 |
| 1568839181 | Jolene E Appiah | Occupational Therapist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2015-08-31 |
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|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780998369 | Robert T. Peyton | Psychologist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2010-08-05 |
| 1568794469 | Nancy Ann Elliott | Psychologist | 712 Lois Dr, Sun Prairie, WI 53590-1100 | 2010-02-03 |
| 1992894950 | James Paul Leclair | Psychologist | 705 W Main St, Sun Prairie, WI 53590-2849 | 2006-10-11 |
| 1215028311 | Lawrence James Stava | Psychologist | 705 W Main St, Suite 3, Sun Prairie, WI 53590-2849 | 2006-09-27 |
| 1033155718 | Maria C Graf | Psychologist | 10 Tower Dr, Sun Prairie, WI 53590-1239 | 2006-06-21 |
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|---|---|---|---|---|
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| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
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| City | SUN PRAIRIE |
| Zip Code | 53590 |
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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.