DR. ABBY ERIN COSTELLO (NPI# 1073070793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073070793 |
| Entity Type | Individual |
| Full Name | DR. ABBY ERIN COSTELLO |
| Credential | PSY.D. |
| Practice Address |
128 Chestnut St Ste 303 Philadelphia PA 19106-3024 |
| Practice Telephone | 2153994128 |
| Mailing Telephone | 2153994128 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS018741 | PA | Behavioral Health & Social Service Providers |
| Street Address |
128 CHESTNUT ST STE 303 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679093017 | Catherine Rose Fries | Social Worker | 128 Chestnut St Ste 303, Philadelphia, PA 19106-3024 | 2017-06-27 |
| 1467076315 | John William Machalaba | Psychologist | 128 Chestnut St Ste 303, Philadelphia, PA 19106-3024 | 2020-06-05 |
| 1831755909 | Anne Miller-uueda | Social Worker | 128 Chestnut St Ste 303, Philadelphia, PA 19106-3024 | 2019-05-14 |
| 1205309986 | Emily Potter Cox | Counselor | 128 Chestnut St Ste 303, Philadelphia, PA 19106-3024 | 2019-01-06 |
| 1437646957 | Daniel Egbert Ruckdeschel | Psychologist | 128 Chestnut St Ste 303, Philadelphia, PA 19106-3024 | 2018-04-19 |
| 1851807549 | Shoshana Shira Twersky | Counselor | 128 Chestnut St Ste 303, Philadelphia, PA 19106-3024 | 2017-12-18 |
| 1982119020 | Rebecca Clarke | Social Worker | 128 Chestnut St Ste 303, Philadelphia, PA 19106-3024 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851092 | Erica Marla Schulte | Psychologist | 3535 Market St Ste 3032, Philadelphia, PA 19104-3313 | 2020-11-02 |
| 1376159780 | Kristi Corcoran | Psychologist | 212 Catharine St Apt 5, Philadelphia, PA 19147-3398 | 2020-09-21 |
| 1033723317 | Casey Joan Zampella | Psychologist | 2716 South St Ofc 5322, Philadelphia, PA 19146-2305 | 2020-09-03 |
| 1265053755 | Shirley Brown | Psychologist | 210 W Rittenhouse Sq Ste 404, Philadelphia, PA 19103-5771 | 2020-05-06 |
| 1518507912 | Tamara Christine Hill | Psychologist | 245 Cherry St Apt 3f, Philadelphia, PA 19106-1991 | 2020-01-14 |
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1265070379 | Jeannine Cicco Barker | Psychologist | 100 S Broad St Ste 915, Philadelphia, PA 19110-1016 | 2019-12-19 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1235790007 | Stephanie Manasse | Psychologist | 3201 Chestnut St, Philadelphia, PA 19104-3370 | 2019-06-24 |
| 1003376690 | Margaux Desjardins | Psychologist | 2200 Saint James Pl, Philadelphia, PA 19103-5502 | 2019-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
Please comment or provide details below to improve the information on DR. ABBY ERIN COSTELLO.
| 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.