Active NPI
Rebeccah Costa, PSY.D.
- Psychologist
- Warwick, RI
National Provider Identifier
1548636608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS01866
- Practice address
- 275 W Natick Rd Ste 400
Warwick, RI 02886-1161 - Phone
- (401) 826-8875
- Fax
- (401) 826-8926
- NPI assigned
- Aug 12, 2015
- Last updated
- Jun 22, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS01866 | RI | Primary |
Addresses
Primary practice location
275 W Natick Rd Ste 400
Warwick, RI 02886-1161
Mailing address
1082 Davol St
Fall River, MA 02720-1124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01866 | RI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Interventions, Psychology, PT, OT, SLP, LMSW, PLLC. | Psychologist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1346589215
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1548636608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1082 DAVOL ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027201124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W NATICK RD STE 400",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861161",
"telephone_number": "401-826-8875",
"fax_number": "401-826-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "REBECCAH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "RI",
"license": "PS01866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.