Active NPI
Christopher Costanza, PSYD
- Clinical Neuropsychologist
- Colorado Springs, CO
National Provider Identifier
1366065419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY.0007084
- Practice address
- 1259 Lake Plaza Dr Ste 255
Colorado Springs, CO 80906-3542 - Phone
- (719) 598-3585
- NPI assigned
- May 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY.0007084 | CO | Primary |
Addresses
Primary practice location
1259 Lake Plaza Dr Ste 255
Colorado Springs, CO 80906-3542
Mailing address
1259 Lake Plaza Dr Ste 255
Colorado Springs, CO 80906-3542
Phone (719) 598-3585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1366065419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 LAKE PLAZA DR STE 255",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063542",
"telephone_number": "719-598-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 LAKE PLAZA DR STE 255",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063542",
"telephone_number": "719-598-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANZA",
"first_name": "CHRISTOPHER",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-23",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CO",
"license": "PSY.0007084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
- Alexander Cossey
- Brooke Italia Costa
- Francina Costa
- Kristina Rene Costa, MS, NNP-G
- Aaron Joseph Costantino, PA-C
- Costco Wholesale Corporation (Costco Pharmacy # 1030)
- Costco Wholesale Corporation (Costco Optical #1014)
- Costco Wholesale Corporation (Costco Hearing Aid #1014)
- Costco Wholesale Corporation (Costco Hearing Aid #1030)
- Costco Wholesale Corporation (Costco Optical #1030)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.