Raymond M Costello, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2-0916 Issued in TX

Practice address

3600 Memorial Blvd
South Texas Veterans Health Care System
Kerrville, TX 78028

Phone

(830) 370-6769

Fax

(830) 792-2474

NPI assigned

Aug 24, 2006

Last updated

Jul 30, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evergreen Elder Care, Inc.

  • Psychologist
  • San Antonio, TX
  • NPI 1578658639
  NPD (past)
• The University of Texas Health Science Center at San Antonio

  dba UT Health San Antonio Multispecialty & Research Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1326829904
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1881701860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MEMORIAL BLVD",
            "address_2": "SOUTH TEXAS VETERANS HEALTH CARE SYSTEM",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-370-6769",
            "fax_number": "830-792-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MEMORIAL BLVD",
            "address_2": "SOUTH TEXAS VETERANS HEALTH CARE SYSTEM",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-370-6769",
            "fax_number": "830-792-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-0916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114314103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Coronado, FNP-C
• Kristin Marie Corradini, PA-C
• Estela Cortez, LVN
• Joan Lee Cortez, MS
• Cosmos Hospice of San Antonio, LLC (New Century Hospice of San Antonio)
• Charles Coulter Jr.
• Mona Louise Courtney, RN
• Covenant Primary Care LLC
• Vanessa R Cox, DNP, APRN, FNP-BC
• Russell S Cravey, M.D.

• Psychologist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.