MR. JOHN JEFFREY COSTANZO MA NPI 1447311196

NPI Information

NPI: 1447311196
Provider Name: MR. JOHN JEFFREY COSTANZO, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1040 WALTHAM ST
LEXINGTON, MA
ZIP 02421
Phone: (781) 862-3600
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MR. John Jeffrey Costanzo, MA is a mental health counselor in Lexington, MA. MR. John Jeffrey Costanzo, MA NPI is 1447311196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1040 WALTHAM ST
LEXINGTON, MA
ZIP 02421-033
Phone: (781) 862-3600
Fax: (781) 863-5903

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NHP1004745	OTHER	MASSACHUSETTS	NHP
2	NP01332	OTHER	MASSACHUSETTS	BMC
3	99618201	OTHER		NETWORK HEALTH
4	1303287	OTHER	MASSACHUSETTS	MBHP
5	M18633	OTHER	MASSACHUSETTS	BCBS
6	V10074	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
7	1303287	MEDICAID	MASSACHUSETTS
8	703136	OTHER	MASSACHUSETTS	TUFTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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