DR. JOSEPH A COSTA (NPI# 1720355506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720355506 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH A COSTA |
| Credential | PSYD |
| Practice Address |
100 Prison Rd Represa CA 95671-3000 |
| Practice Telephone | 9169858610 |
| Mailing Telephone | 9169858610 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY20963 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578802864 | Joseph L Costa | Nurse Practitioner | 460 River Ave, Williamsport, PA 17701 | 2013-02-06 |
| 1326350299 | Joseph F Costa | Specialist | 1313 Trail Glen Ln, Lutz, FL 33549-4083 | 2010-07-08 |
| 1972726230 | Joseph C Costa | Chiropractor | 6446 Xerxes Av S, Edina, MN 55423-1039 | 2007-04-11 |
| 1558429464 | Joseph Costa | Optometrist | 4600 Alum Rock Ave Ste 4, San Jose, CA 95127-2463 | 2006-12-04 |
| 1801868161 | Joseph W Costa Jr. | Dentist | 227 Russell St, Worcester, MA 01602-2126 | 2006-02-02 |
| 1235630294 | Joseph Costa | Dentist | 4130 Bloomfield Ave, Drexel Hill, PA 19026-3803 | 2018-02-26 |
| 1467872622 | Joseph Costa | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2014-04-25 |
| 1649335316 | Joseph Costa | Physician Assistant | 177 Fort Washington Ave, Milstein Pavilion, Suite 7-435, Cardiothoracic Surgery, New York, NY 10032-3733 | 2006-12-23 |
| 1114099777 | Joseph J Costa | Pharmacist | 800 Main St, Dickson City, PA 18519-1546 | 2006-11-15 |
| 1649211046 | Joseph J Costa | Internal Medicine | 301 Saint Paul Pl, 11th Floor, Baltimore, MD 21202-2102 | 2006-06-09 |
| Street Address |
100 PRISON RD |
| City | REPRESA |
| State | CA |
| Zip Code | 95671-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730269929 | Kathryn Eilene Peters | Pharmacist | 100 Prison Rd, Represa, CA 95671-3000 | 2006-10-16 |
| 1043795875 | Marsha Evans | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-09-27 |
| 1528545738 | Abby Molinet | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-07-20 |
| 1053847665 | Jacqueline Daasch Caoile | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2017-05-03 |
| 1427509314 | Kathryn Manness | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2016-10-17 |
| 1124575717 | Juzelie Gomez | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2016-09-01 |
| 1336500412 | Alyssa Aguilar | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2016-03-16 |
| 1841674579 | Pembe Ethem | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2015-07-13 |
| 1326441627 | Suzanne Ladson | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-30 |
| 1740682228 | Nicole Thompson | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811207426 | Nicole Calma | Counselor | 100 Prison Road Sacramento State Prison, Represa, CA 95671 | 2010-10-15 |
| 1578737359 | Laura Beebe | Registered Nurse | 1 Prison Road, Csp Sacramento, Folsom, CA 95671 | 2008-04-14 |
| 1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
| 1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
| 1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
| 1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1730362930 | Dennis Rulon Fairbourn | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
| 1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
| 1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
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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 |
|---|---|---|---|---|
| 1588934897 | Corey Cheyne Montoya | Psychologist | 101 Prison Rd, Represa, CA 95671-3000 | 2012-01-03 |
| 1043795875 | Marsha Evans | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-09-27 |
| 1528545738 | Abby Molinet | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-07-20 |
| 1336500412 | Alyssa Aguilar | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2016-03-16 |
| 1295134930 | Craig Wetterer | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-08-19 |
| 1447590997 | Meg Eu Cho | Psychologist | 300 Prison Rd, Represa, CA 95671-3001 | 2013-02-20 |
| 1093054132 | Renata Pleshchuk Kowalski | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2013-02-09 |
| 1124365614 | Tracy Michelle Weyer | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2013-01-03 |
| 1679705024 | Jirina Zahradnickova I | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2009-08-19 |
| 1982860748 | Darcie L. Sharp | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2008-07-31 |
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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.