Juliet Maria Coscia, PHD

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

6301012170 Issued in MI

Practice address

235 Wealthy Ave SE
Department of Psychology
Grand Rapids, MI 49503-5299

Phone

(616) 242-9201

Fax

(616) 451-9513

NPI assigned

Apr 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750347332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WEALTHY AVE SE",
            "address_2": "DEPARTMENT OF PSYCHOLOGY",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035299",
            "telephone_number": "616-242-9201",
            "fax_number": "616-451-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WEALTHY AVE SE",
            "address_2": "DEPARTMENT OF PSYCHOLOGY",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035299",
            "telephone_number": "616-242-9201",
            "fax_number": "616-451-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSCIA",
        "first_name": "JULIET",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301012170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH BLUE CROS",
            "identifier": "JC012170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lea Corwin, RDN, MPH
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• Katherine Costa, S.PSY.S., BCBA

• Rehabilitation Psychologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Rehabilitation Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.