Individual provider Active NPI

Gabriela Hannah Kostzer, PSYD

  • Clinical Psychologist
  • Pelham, NY
National Provider Identifier
1699639195
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P140186 Issued in NY
Practice address
629 Fifth Ave Ste 109
Pelham, NY 10803-3708
Phone
(914) 368-2995
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P140186 NY Primary

Addresses

Primary practice location

629 Fifth Ave Ste 109
Pelham, NY 10803-3708

Mailing address

2216 79TH St Apt 1E
East Elmhurst, NY 11370-2116
Phone (954) 646-1003

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

LicenseStateTypeSpecialty
P140186NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upshur Bren Psychology Group Clinical CurrentSince Dec 14, 2025 Accepting new patients

Locations

629 Fifth Ave
Ste 109
Pelham, NY 10803
Phone (914) 222-0297

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.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1699639195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 79TH ST APT 1E",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702116",
            "telephone_number": "954-646-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 FIFTH AVE STE 109",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033708",
            "telephone_number": "914-368-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTZER",
        "first_name": "GABRIELA",
        "middle_name": "HANNAH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P140186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.