Alex Costinew, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301002052 Issued in MI

Practice address

38345 W 10 Mile Rd
Suite 150
Farmington Hills, MI 48335-2867

Phone

(248) 478-0466

Fax

(248) 478-0435

NPI assigned

May 27, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Wayne State University School of Medicine, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Alex E. Costinew PH.D.,P.C.

  • Psychologist
  • Farmington Hills, MI
  • NPI 1093820938
  Medicare reassignment Authorized official
• Beverly a. Costinew PHD P.C.

  • Psychologist
  • Farmington Hills, MI
  • NPI 1457540437
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1962637413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31700 W 13 MILE RD",
            "address_2": "STE 201",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342171",
            "telephone_number": "248-478-0466",
            "fax_number": "248-478-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38345 W 10 MILE RD",
            "address_2": "SUITE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352867",
            "telephone_number": "248-478-0466",
            "fax_number": "248-478-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTINEW",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301002052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680F347340",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680F356960",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Costanzo
• Courtney Katherine Costelnock, LLBSW
• Lesley Coster
• Logan Costie
• Keilen Costilla
• Beverly A Costinew, PH.D. L.P.
• Michelle Costley
• Mikia Costner
• Barbara Coston
• Faythe Coston

• Counseling Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.