Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paulina Kozak, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1790526606

Paulina Kozak, PMHNP-BC is a Nurse Practitioner in Cedar Knolls, New Jersey. Qualified in 2023, 3 years ago. Practices with Nj Memory and Behavioral Care, a 72-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

14 Ridgedale Ave Ste 103
Cedar Knolls, NJ 07927-1106
Phone: (973) 295-6335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ15044300 (NJ)

Record details

NPI number1790526606
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nj Memory And Behavioral Care — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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