Joseph Thomas Costello, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009827 Issued in NY

Practice address

50 Sequams LN W
West Islip, NY 11795-4527

Phone

(631) 669-8230

NPI assigned

Apr 4, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1245573682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEQUAMS LN W",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954527",
            "telephone_number": "631-669-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEQUAMS LN W",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954527",
            "telephone_number": "631-669-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Ann Conway
• Danielle Conwell, MOTR/L
• Clayton Reid Coover, MD
• Aubrey Elaine Cornell, PA-C
• Maureen Corry, MD
• Adam David Cotter, PA - C
• Matthew Cotter, DO
• Christian Cotumaccio, LCAT
• Dawn Marie Coughlin, MA/CCC-SLP
• Ronald Charles Craig, MD

• Clinical Psychologist in West Islip, NY
• Providers in West Islip, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.