Leticia Rodrigues Costa, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

94026834 Issued in CA

Practice address

1120 W la Veta Ave Ste 470
Orange, CA 92868-4233

Phone

(347) 255-6489

NPI assigned

Jun 29, 2018

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 names 1

• Mrs. Leticia Rodrigues Costa Professional name

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1821583006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684233",
            "telephone_number": "714-509-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684233",
            "telephone_number": "347-255-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES COSTA",
        "first_name": "LETICIA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "94026834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETICIA",
            "last_name": "RODRIGUES COSTA",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jack Rockwell
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• Nelson Rodillo
• Rodney Strachan M.D. Inc
• Pulahinge Dhanapala Rodrigo, M.D.
• Mark Jervis Rodrigues, M.D.
• Karime Noemi Rodriguez Ayala
• Juan Rodriguez Davalos
• Gisselle Alexandra Rodriguez Hernandez
• Jesse Anthony Rodriguez Lemos

• Psychologist in Orange, CA
• Providers in Orange, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.