THELMA COSTELLO MS LMHC PC (NPI# 1902031107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902031107 |
| Entity Type | Organization |
| Organization Name | THELMA COSTELLO MS LMHC PC |
| Practice Address |
4 Executive Park Dr 2nd Flr Albany NY 12203-3718 |
| Mailing Address |
4 Executive Park Dr 2nd Flr. Albany NY 12203-3718 |
| Practice Telephone | 5184383139 |
| Practice Fax Number | 5182071900 |
| Mailing Telephone | 5184383139 |
| Mailing Fax Number | 5182071900 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |
| Authorized Official Name | THELMA A COSTELLO (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 5184383139 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 000145-1 | NY | Agencies |
| Street Address |
4 EXECUTIVE PARK DR 2ND FLR |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314805 | Thomas F. Fashouer | Specialist/Technologist | 4 Executive Park Dr, Albany Physical Therapy, Albany, NY 12203-3718 | 2005-08-29 |
| 1578045258 | Juwon Park Dmd PC | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-08-30 |
| 1265936496 | Purificato Physical Therapy Pllc | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-03-21 |
| 1649799636 | James Nalbone, Md Pllc | Psychiatry & Neurology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2017-09-12 |
| 1962883595 | Terence Hoyt | Counselor | 4 Executive Park Dr, Ste 201, Albany, NY 12203-3718 | 2015-06-09 |
| 1831529098 | Sphpma Crus Urology | Urology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2013-11-25 |
| 1184979171 | Capital Region Urological Surgeons | Specialist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-07-17 |
| 1164781837 | Phrances Blay Hinch | Nurse Practitioner | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-05-15 |
| 1942529631 | Subrata Mukherjee | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-05-20 |
| 1720300296 | Andrea Berkowitz Lcsw | Social Worker | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750841599 | Kimberly Lashaun Anthony | Community/Behavioral Health | 1517 Lily Pond Rd, Albany, GA 31701-7771 | 2019-03-20 |
| 1285101113 | Chasity S Wright | Community/Behavioral Health | 10151 N Reynard Rd, Albany, IN 47320-9107 | 2018-10-29 |
| 1356821375 | Behaviorway, Inc. | Community/Behavioral Health | 805 Kinkead Way Apt 101, Albany, CA 94706-2636 | 2018-08-20 |
| 1770012288 | Mental Health Association In New York State, Inc. | Community/Behavioral Health | 194 Washington Ave Ste 415, Albany, NY 12210-2314 | 2017-06-08 |
| 1225413610 | Mental Health Empowerment Project, Inc. | Community/Behavioral Health | 3 Atrium Dr Ste 205, Albany, NY 12205-1483 | 2015-07-27 |
| 1154700896 | Burroughs & Jones Counseling and Consulting, LLC | Community/Behavioral Health | 1216 Dawson Rd Ste 110, Burroughs & Jones Counseling and Consulting, LLC, Albany, GA 31707-3800 | 2015-05-27 |
| 1861899759 | Ivy Houses | Community/Behavioral Health | 627 W Highland Ave, Albany, GA 31701-2757 | 2014-11-21 |
| 1548670664 | Holistic Health Systems Inc | Community/Behavioral Health | 345 W Broad Ave Ste 105, Albany, GA 31701-2673 | 2014-04-28 |
| 1548682677 | Doing Good Again LLC | Community/Behavioral Health | 2423 W Alberson Dr, Albany, GA 31721-2025 | 2014-01-08 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 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.