Active NPI
Antigone D. Kostas, MD
- Psychiatry Physician
- Greenwich, CT
National Provider Identifier
1669612925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 049746
- Practice address
- 75 Holly Hill LN Ste 100
Greenwich, CT 06830-2917 - Phone
- (203) 622-1310
- Fax
- (203) 622-1311
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 049746 | CT | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 049746 | CT |
Addresses
Primary practice location
75 Holly Hill LN Ste 100
Greenwich, CT 06830-2917
Mailing address
75 Holly Hill LN Ste 100
Greenwich, CT 06830-2917
Phone (203) 622-1310
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049746 | CT | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1669612925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 HOLLY HILL LN STE 100",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068302917",
"telephone_number": "203-622-1310",
"fax_number": "203-622-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HOLLY HILL LN STE 100",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068302917",
"telephone_number": "203-622-1310",
"fax_number": "203-622-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTAS",
"first_name": "ANTIGONE",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "049746",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "049746",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.