Catherine Costa Gardyn, PMHNP-BC, ANP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

402096 Issued in NY

Practice address

64 Woodchuck Hollow Rd
Cold Spring Harbor, NY 11724-2435

Phone

(516) 551-7112

NPI assigned

Dec 29, 2015

Sex

Female

Sole proprietor

Yes

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 23, 2023 through Oct 23, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: lifestancehealth.catherinecosta@142175.advancedmd-direct.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2025.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1447615992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WOODCHUCK HOLLOW RD",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117242435",
            "telephone_number": "516-551-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WOODCHUCK HOLLOW RD",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117242435",
            "telephone_number": "516-551-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA GARDYN",
        "first_name": "CATHERINE",
        "credential": "PMHNP-BC, ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306698",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrine Joan Cappabianca, MSED., BCBA
• Beth Chase-Schuman, PH.D.
• Cold Spring Harbor Central School District
• Cold Spring Harbor Fire District
• Shannon Conway, RN, IBCLC
• Eve D Culhane, LAC
• Lisa Current, M.S.
• Lauren A Davis, LMT
• Mariano Delisi, LMSW
• Robin Ann Deluca-Acconi, LCSW

• All providers in Cold Spring Harbor, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.