SUSAN KOSTENKO


Address: 201 Tabernacle Rd, Black Mountain, NC 28711-2526
Phone: 8286693481

SUSAN KOSTENKO (NPI# 1932226073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932226073
Entity Type Individual
Full Name SUSAN KOSTENKO
Credential M.D.
Practice Address 201 Tabernacle Rd
Black Mountain
NC 28711-2526
Mailing Address 15 Ellenwood Dr
Asheville
NC 28804-2345
Practice Telephone 8286693481
Mailing Telephone 8286693481
Enumeration Date 2007-03-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
9700622 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC DEA NUMBER BK5448279 01

Office Location

Street Address 201 TABERNACLE RD
City BLACK MOUNTAIN
State NC
Zip Code 28711-2526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194786459 Carol H Kaufman Family Medicine 201 Tabernacle Rd, Julian F. Keith Alcohol and Drug Abuse Treatment Center, Black Mountain, NC 28711-2526 2006-03-28
1528667763 Julian F. Keith Adatc Outpatient Services Community/Behavioral Health 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2020-10-20
1871133645 Kathleen Hoppe Smith Registered Nurse 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2020-01-09
1548638018 Kelly German Nurse Practitioner 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2015-09-14
1063802999 Julian F. Keith Alcohol & Drug Abuse Treatment Center Pharmacy 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2015-01-30
1326455635 Veronica Lynn Johnson Nurse Practitioner 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2014-07-18
1093149775 Rocky Beauchane Morris Counselor 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2013-08-29
1619229614 Carolyn Sue Anderson Registered Nurse 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2012-10-15
1104071851 Vivian Ruth Poetter General Practice 201 Tabernacle Rd, Jfk Alcohol and Drug Abuse Treatment Center, Black Mountain, NC 28711-2526 2008-11-21
1164675153 Saeri Lee Wren Physician Assistant 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2008-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952910978 Kelsey Lauren Crabtree Counselor 9 Penelope Street, Black Mountain, NC 28711 2020-07-26
1053839068 Walgreen Co Durable Medical Equipment & Medical Supplies 540 Nc 9 Hwy, Black Mountain, NC 28711 2017-08-30
1487037495 Marian Cook Occupational Therapist 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 2015-07-08
1457696361 Black Mountain Physical Therapy, LLC Clinic/Center 997 W Old Us 70 Hwy, Black Mountain, NC 28711 2012-12-04
1982948550 Givens Highland Farms, LLC Skilled Nursing Facility 200 Tabernacle Road, Black Mountain, NC 28711 2012-11-20
1639480312 Kathleen Bradley Shannon Counselor 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 2010-06-28
1821117482 Katherine Edwards Milam Technician/Technologist 145a Old Hwy 70 East, Black Mountain, NC 28711 2007-03-28
1932247079 R. Bruce Kelly Family Medicine 932 Old Hwy 70 West, Black Mountain, NC 28711 2007-02-01
1275679474 Black Mountain Neuro-medical Treatment Center Skilled Nursing Facility 932 Old Us 70, Black Mountain, NC 28711 2007-01-29
1992851331 Julian F Keith Alcohol and Drug Abuse Treatment Center Psychiatric Hospital 201 Tabernacle Road, Black Mountain, NC 28711 2007-01-26
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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134625643 Kami Harris Psychiatry & Neurology 7826 Spungold St, Raleigh, NC 27617-8603 2018-04-03
1174922348 Center for Emotional Health Psychiatry & Neurology 640 Summit Cross Place, Suite 203, Gastonia, NC 28054 2014-08-14
1033421797 Haven Ministries, Inc. Psychiatry & Neurology 411 Redcross St, Wilmington, NC 28401-3455 2010-07-11
1730183641 John Thomas Moranville Psychiatry & Neurology 302 Penny Ln, Morehead City, NC 28557-4306 2005-06-08
1447565536 Diagnosis and Assessent of Emotions-health Services, Pllc Psychiatry & Neurology 3316 Neuse Blvd, New Bern, NC 28560-4110 2010-08-12
1548582554 Clientfirst of Nc, LLC Psychiatry & Neurology 2719 Graves Dr, Suite 5, Goldsboro, NC 27534-4536 2010-02-17
1437483872 Cornerstone Treatment Facility, Inc. Psychiatry & Neurology 129 Wallace Road, Wadesboro, NC 28170-2434 2009-10-01
1487826061 Jeremy Don Harrison Psychiatry & Neurology 5140 Dunstan Rd, Greensboro, NC 27405-9565 2008-03-24
1053501056 Southeastern Home Health Care Services Inc Psychiatry & Neurology 1892 Turnpike Road, Raeford, NC 28376-9998 2007-07-26
1245437631 Roy Dewayne Book Psychiatry & Neurology 5140 Dunstan Rd, Greensboro, NC 27405-9565 2007-06-28
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Competitor

Search similar providers

City BLACK MOUNTAIN
Zip Code 28711

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Dataset Information

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.

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