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DR. MICHAEL LEONARD COSTA PSY.D.
NPI 1205401007
Psychologist - Clinical Child & Adolescent in Astoria, NY

Active since May 24, 2021Opted out of Medicare · through Nov 12, 2027
2572 43RD ST, ASTORIA, NY 11103(516) 670-5325 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Leonard Costa Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL LEONARD COSTA PSY.D. (NPI 1205401007) is an individual clinical child & adolescent provider in Astoria, New York and active in the NPI registry since May 2021. He has opted out of Medicare through November 12, 2027.

NPPES Registry Identity

NPI1205401007
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. MICHAEL LEONARD COSTACredential: PSY.D.
Location Address2572 43RD STAstoria, NY 11103-2509
Mailing Address2572 43rd StAstoria, NY 11103-2509 · (516) 670-5325
Phone(516) 670-5325
Sole ProprietorNo
Enumeration DateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1205401007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
2572 43RD ST, Astoria, NY 11103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Leonard Costa Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2021 through November 12, 2027.

Opt-Out Effective DateNovember 12, 2021
Opt-Out In Effect ThroughNovember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Costa's NPI number?

The NPI number for Michael Costa is 1205401007. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Michael Costa located?

Michael Costa practices at 2572 43rd St, Astoria, NY 11103. The listed phone number is (516) 670-5325.

What is Michael Costa's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Michael Costa enrolled in Medicare?

No. Michael Costa has opted out of Medicare through November 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michael Costa was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.