DR. JOSEPH THOMAS COSTELLO (NPI# 1245573682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245573682 |
Entity Type | Individual |
Full Name | DR. JOSEPH THOMAS COSTELLO |
Credential | PH.D. |
Practice Address |
50 Sequams Ln W West Islip NY 11795-4527 |
Practice Telephone | 6316698230 |
Mailing Telephone | 6316698230 |
Enumeration Date | 2013-04-04 |
Last Update Date | 2013-04-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
009827 | NY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
1821125527 | Joseph Costello | Pharmacist | 2577 Dolly Bay Dr, Unit 308, Palm Harbor, FL 34684-1136 | 2007-02-28 |
1073607651 | Joseph Patrick Costello IIi | Specialist | 4212 N Illinois St, Swansea, IL 62226-1835 | 2006-10-03 |
1578163598 | Joseph Anthony Costello IIi | Behavior Technician | 100 N Staebler Rd Ste A-b, Ann Arbor, MI 48103-9755 | 2020-10-28 |
1578160982 | Joseph C Costello | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-08 |
1639506017 | Joseph Patrick Costello | Physical Therapist | 57 W 57th St Fl 15, New York, NY 10019-2832 | 2013-10-01 |
1952613671 | Joseph M Costello | Podiatrist | 2121 N Baltimore St, Kirksville, MO 63501-5110 | 2010-07-10 |
1508004813 | Joseph T Costello | Physician Assistant | 650 Joel Drive, Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2009-01-23 |
1992979710 | Joseph Costello | Massage Therapist | 2935 Baseline Rd Ste 300, Boulder, CO 80303-2367 | 2008-04-14 |
1639148216 | Joseph J. Costello | Podiatrist | 45 N Main St, Suite 1, Pittston, PA 18640-1915 | 2006-03-16 |
Street Address |
50 SEQUAMS LN W |
City | WEST ISLIP |
State | NY |
Zip Code | 11795-4527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
Find all providers in zip 11795 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265512651 | Jennifer M. Lancaster | Psychologist | 400 Montauk Hwy 112, West Islip, NY 11795-4429 | 2006-10-17 |
1700945623 | Helen G Meyers | Psychologist | 400 Montauk Highway, Suite 110, West Islip, NY 11795 | 2006-12-06 |
1790720159 | Israel Birnbaum | Psychologist | 111 Beach Dr, West Islip, NY 11795-4929 | 2006-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
Find all providers with the same taxonomy |
City | WEST ISLIP |
Zip Code | 11795 |
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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.