Lori Renee Costa-Mitrano, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016267 Issued in NY

Practice address

500 Helendale Rd
Suite 110
Rochester, NY 14609-3173

Phone

(585) 586-2223

Fax

(585) 586-2224

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

Yes

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1972557296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SANDORIS CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146223243",
            "telephone_number": "585-654-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-586-2223",
            "fax_number": "585-586-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA-MITRANO",
        "first_name": "LORI",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Robert Cos, MD
• Ecaterina Cosentino, NP-C
• Sarah Nicole Johnson Cosentino
• Janice M Cosgriff, P.A.
• Meghan E Cosgrove, OT
• Patrick J Costa, MD, PHD
• Rachel Costain, PA-C
• Christopher James Costantini, C.PED.
• Carly Costanza, MSPT
• Joseph Costanza, PSY.D.

• Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.