Costa Clinical Psychology, Llc in Brookings, OR

Costa Clinical Psychology, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Brookings, Oregon. The current practice location for Costa Clinical Psychology, Llc is 625 Spruce St., # 7666, Brookings, Oregon. For appointments, you can reach them via phone at (541) 412-0700. The mailing address for Costa Clinical Psychology, Llc is 625 Spruce St., P.o. Box 7666, Brookings, Oregon and phone number is (541) 412-0700.

Costa Clinical Psychology, Llc is licensed to practice in Oregon (license number 2356). The clinic also participates in the medicare program and its NPI number is 1881144178. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (541) 412-0700.

Contact Information

	Costa Clinical Psychology, Llc
	625 Spruce St. # 7666 Brookings OR 97415
	(541) 412-0700
	(541) 412-0711

Map and Direction

Mental Health Clinic Profile

Full Name	Costa Clinical Psychology, Llc
Speciality	Psychologist
Location	625 Spruce St., Brookings, Oregon
Authorized Official Name and Position	Teresa Ione Costa (CLINICAL PSYCHOLOGIST)
Authorized Official Contact	5414120700
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Costa Clinical Psychology, Llc 625 Spruce St. P.o. Box 7666 Brookings OR 97415 Ph: (541) 412-0700	Costa Clinical Psychology, Llc 625 Spruce St. # 7666 Brookings OR 97415 Ph: (541) 412-0700

NPI Details:

NPI Number	1881144178
Provider Enumeration Date	10/11/2016
Last Update Date	10/11/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	2365723186
Medicare Enrollment ID	O20170109003221

Medical Identifiers

Medical identifiers for Costa Clinical Psychology, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881144178	NPI	-	NPPES
500659667	Medicaid	OR
R16961	Other	OR	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2356 (Oregon)	Primary
1041C0700X	Social Worker - Clinical	L6298 (Oregon)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Costa Clinical Psychology, Llc acts as a billing entity for following providers:

Provider Name	Teresa I Costa
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1770894461 PECOS PAC ID: 8820237803 Enrollment ID: I20130624000472

Reviews and Comments

Psychologist in Brookings, OR

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Sunlight Family Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 Spruce Street, Brookings, OR 97415 Phone: 541-412-9141
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Avant Mental Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 648 Chetco Ave, Brookings, OR 97415 Phone: 541-351-9149 Fax: 503-914-6686
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Costa Clinical Psychology, Llc - Medicare Mental Health Clinic in Brookings, OR