Cuyler Costanzo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC 1611334 Issued in OH

Practice address

445 N Main St
Akron, OH 44310-3146

Phone

(330) 996-2222

NPI assigned

Dec 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1760926323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E BUCHTEL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052338",
            "telephone_number": "330-996-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103146",
            "telephone_number": "330-996-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "CUYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC 1611334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Julian Cosgrove
• Cosmetique West
• Marjorie Louise Cossin, M.S.
• Amy K Costa, R.N.
• Sharon Denise Costa
• Mary K Costello, M.D.
• Carrie Elizabeth Costin, MD
• Christopher Costin, M.D.
• Kimberly Sue Costlow
• Jermaine L Coteat, CRNA

• Addiction (Substance Use Disorder) Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.