DR. JEANNE KOSTAS (NPI# 1790868859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790868859 |
| Entity Type | Individual |
| Full Name | DR. JEANNE KOSTAS |
| Credential | PH.D. |
| Practice Address |
245 Lark St Albany NY 12210-1149 |
| Mailing Address |
49 Parkwyn Dr Delmar NY 12054-4130 |
| Practice Telephone | 5183660773 |
| Mailing Telephone | 5183660773 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 013649 | NY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 013649 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02531964 | 05 | |
| NY | MEDICARE PIN | DD6356 | 01 |
| Street Address |
245 LARK ST |
| City | ALBANY |
| State | NY |
| Zip Code | 12210-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851876296 | Michele Jane Harmon-gordon | Social Worker | Arbor Hill Elementary School, 1 Arbor Drive, Albany, NY 12210 | 2018-10-02 |
| 1235416348 | Elizabeth Haggerty Sontz | Registered Nurse | 1 Dudley Heights, Albany, NY 12210 | 2011-11-03 |
| 1821194002 | Christine M Daniel | Pharmacist | 800 Irving Ave, Va Medical Center, Syracuse, NY 12210 | 2006-09-15 |
| 1700187143 | Terry Paige | Contractor | 374 Hudson Ave, Albany, NY 12210-1003 | 2010-11-16 |
| 1396014122 | Pamela Chris Howard | Speech-Language Pathologist | 75 Willett St, 6a, Albany, NY 12210-1037 | 2011-12-22 |
| 1538471404 | Helen Titus Putriment I | Massage Therapist | 225 Lark St, Albany, NY 12210-1101 | 2010-07-08 |
| 1326461542 | Pamela Schwarz | Massage Therapist | 225 Lark St, Albany, NY 12210-1101 | 2014-01-23 |
| 1497709232 | Fred C Storm | Obstetrics & Gynecology | 259 Lark St, Albany, NY 12210-1108 | 2006-05-19 |
| 1720072952 | Victor L Tulchinsky | Family Medicine | 255 Lark St, Albany, NY 12210-1108 | 2005-09-02 |
| 1154502714 | Kiufong Melissa Hon-tulchinsky | Dietitian, Registered | 255 Lark St, Albany, NY 12210-1108 | 2007-11-23 |
| Find all providers in zip 12210 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385432 | How 'fryed' Am I LLC | Clinical Neuropsychologist | 46 Colonial Ave, Suite A, Albany, NY 12203-2012 | 2016-02-01 |
| 1609265123 | Albany General Hospital | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2015-01-21 |
| 1275790461 | Audrina Alexis Mullane | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2008-05-16 |
| 1518184712 | Comprehensive Neuropsychological Services, Pllc | Clinical Neuropsychologist | 490 Western Ave, Albany, NY 12203-1513 | 2007-04-19 |
| 1710029434 | George Barrett Litchford | Clinical Neuropsychologist | 67 S Lake Ave, Albany, NY 12203-1103 | 2007-02-12 |
| 1740206010 | Neuropsychologic Rehabilitation Services PC | Clinical Neuropsychologist | 300 Washington Ave. Ext., Albany, NY 12203 | 2006-07-13 |
| 1194766873 | Mccaffrey Psychological PC | Clinical Neuropsychologist | 1740 Western Avenue, Suite 100, Albany, NY 12203-4414 | 2006-06-10 |
| 1558320572 | South Georgia Neuropsychological Associates | Clinical Neuropsychologist | 1211 Palmyra Rd, Albany, GA 31701-1935 | 2006-03-20 |
| 1790039063 | Lindsey Erinn Felix | Clinical Neuropsychologist | 534 Pleasant View Way Nw Ste 200, Albany, OR 97321-1789 | 2012-11-07 |
| 1750661211 | Robert Ryan Fallows | Clinical Neuropsychologist | 534 Pleasant View Way Nw, Suite 200, Albany, OR 97321-1700 | 2011-08-27 |
| Find all providers in ALBANY | ||||
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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.