Active NPI
Rosalia Costello
- Clinical Neuropsychologist
- Austin, TX
National Provider Identifier
1760740294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 39319
- Practice address
- 4910 Mueller Blvd Ste 300
Austin, TX 78723-3079 - Phone
- (312) 860-2140
- NPI assigned
- May 3, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | C23472088864 | IL | |
| Clinical Neuropsychologist | 103G00000X | 39319 | TX | Primary |
Addresses
Primary practice location
4910 Mueller Blvd Ste 300
Austin, TX 78723-3079
Mailing address
4910 Mueller Blvd Ste 300
Austin, TX 78723-3079
Phone (312) 860-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C23472088864 | IL | MD | Specialist |
| 39319 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Dell Children'S Medical Group | Current | Accepting new patients | |
| Seton Family of Doctors | Past | Accepting new patients |
Locations
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
4910 Mueller Blvd
Ste 300
Austin, TX 78723
Phone (512) 324-0907
1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800
Interoperability endpoints
- rosalia.costello.1@8363.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
- Pediatrics Physician
- Round Rock, TX
- NPI 1790103869
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1760740294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 MUELLER BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233079",
"telephone_number": "312-860-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 MUELLER BLVD STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233079",
"telephone_number": "312-860-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "ROSALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "C23472088864",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "39319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.