Christine Costanzo M.D. LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36169 Issued in WI

Legal business name

CHRISTINE COSTANZO M.D. LLC

Practice address

16 N. Carroll St.
Ste. 710
Madison, WI 53703

Phone

(608) 255-4747

NPI assigned

Feb 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christine Marie Costanzo, M.D.NPI 1144398546

Title

Psychiatrist

Phone

(608) 347-6759

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Marie Costanzo, M.D.

  • Psychiatry Physician
  • Madison, WI
  • NPI 1144398546
  NPD (past) Authorized official

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1487950812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 YAHARA PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045557",
            "telephone_number": "608-347-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N. CARROLL ST.",
            "address_2": "STE. 710",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53703",
            "telephone_number": "608-255-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE COSTANZO M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "COSTANZO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "608-347-6759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "36169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan K Christianson, RDH
• Brian Michael Christie, MD
• Jill M. Christie, PA-C
• Nichole Ann Christie, MSW
• Christina Escuder PSYD LLC
• Alex David Christl
• Dennis Christoffersen, PSYD
• Ella Nicole Irwin Christoph, MD
• Michael Christopher, M.D.
• Richard Carl Christopherson

• Psychiatry Physician in Madison, WI
• Providers in Madison, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.