Active NPI
Paul Costanza, PH.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1750650792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8113 29TH Ave SW
Seattle, WA 98126-3523 - Phone
- (206) 923-0106
- NPI assigned
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
8113 29TH Ave SW
Seattle, WA 98126-3523
Mailing address
8113 29TH Ave SW
Seattle, WA 98126-3523
Phone (206) 923-0106
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1750650792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8113 29TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263523",
"telephone_number": "206-923-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8113 29TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263523",
"telephone_number": "206-923-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANZA",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-20",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.