CLAIRE COSTELLO (NPI# 1699280974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699280974 |
| Entity Type | Individual |
| Full Name | CLAIRE COSTELLO |
| Credential | MHRS |
| Practice Address |
1410 Bonita Ave Berkeley CA 94709-1909 |
| Practice Telephone | 5105264765 |
| Mailing Telephone | 5105264765 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932482460 | Claire Costello | Speech-Language Pathologist | 211 Ivanhoe Ave, Camillus, NY 13031-2427 | 2011-09-21 |
| Street Address |
1410 BONITA AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235264904 | Ralph V Pericoli | Specialist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-02-22 |
| 1649814252 | Anna Moore | Social Worker | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2019-11-06 |
| 1043720998 | Kristen Portney | Psychologist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2017-10-05 |
| 1235344912 | Bonita House, Inc. | Community/Behavioral Health | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-05-14 |
| 1760697312 | Bonita House, Inc. | Community/Behavioral Health | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-05-14 |
| 1497883458 | Jessica C Ramirez | Specialist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-03-01 |
| 1356476931 | Lora Powell | Specialist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-02-22 |
| 1174658843 | John B Elford | Specialist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-02-22 |
| 1568597144 | Katharyne L Robinson | Specialist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-02-22 |
| 1568597136 | Iona M Madplume | Specialist | 1410 Bonita Ave, Berkeley, CA 94709-1909 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
| 1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
| 1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
| 1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
| Find all providers in zip 94709 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760942148 | Sharon Joy Avesar | Counselor | 2218 Prince St Unit A, Berkeley, CA 94705-1819 | 2019-03-22 |
| 1295229318 | Kelly Michelle Whiteford | Counselor | 3001 Telegraph Ave Apt 403, Berkeley, CA 94705-2164 | 2018-06-21 |
| 1083108575 | Romy-michelle Alexandra Unger | Counselor | 2838 Mcgee Ave Apt A, Berkeley, CA 94703-2066 | 2018-06-18 |
| 1154824126 | Stephanie Lemus | Counselor | 2484 Shattuck Ave Ste 201, Berkeley, CA 94704-2076 | 2018-03-15 |
| 1215455761 | Christine Libbey | Counselor | 1980 Hopkins St, Berkeley, CA 94707-2634 | 2017-09-05 |
| 1205371994 | Hayley Elizabeth Liddle | Counselor | 1533b Prince St, Berkeley, CA 94703-2309 | 2017-01-04 |
| 1790158038 | Utah Powell | Counselor | 1422 Fairview St, Berkeley, CA 94702-2716 | 2015-11-09 |
| 1437550720 | Paulina Montes | Counselor | 2540 Grant St, Berkeley, CA 94703-1948 | 2014-09-05 |
| 1013318344 | Lyudmila Kuznetsova | Counselor | 1922 Stuart St, Berkeley, CA 94703-2215 | 2014-09-05 |
| 1972856839 | Kathleen Anne Ruffulo | Counselor | 1212 N Ashbel Ave, Berkeley, IL 60163-1118 | 2012-10-16 |
| Find all providers in BERKELEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.