Individual provider Active NPI

Melissa Costero, PSY. D

  • Clinical Psychologist
  • Hialeah, FL
National Provider Identifier
1508725417
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12787 Issued in FL
Practice address
7329 Pine Valley Dr
Hialeah, FL 33015-2228
Phone
(708) 369-6846
NPI assigned
Jan 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY12787 FL Primary
Clinical Neuropsychologist 103G00000X PY12787 FL

Addresses

Primary practice location

7329 Pine Valley Dr
Hialeah, FL 33015-2228

Mailing address

7329 Pine Valley Dr
Hialeah, FL 33015-2228
Phone (708) 369-6846

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15544 W Colonial Dr
Winter Garden, FL 34787-9556

7329 Pine Valley Dr
Hialeah, FL 33015-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY12787FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Costero Diaz Psy D PA Clinical Neuropsychologist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1508725417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 PINE VALLEY DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152228",
            "telephone_number": "708-369-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 PINE VALLEY DR",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152228",
            "telephone_number": "708-369-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTERO",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12787",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY12787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.