Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRISTOPHER COSTANZA PSYD
NPI 1366065419
Clinical Neuropsychologist in Colorado Springs, CO

Q: What is Christopher Costanza's NPI number?

The NPI number for Christopher Costanza is 1366065419. It was assigned to this individual provider in the NPPES registry on May 23, 2020.

Q: What is Christopher Costanza's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since May 23, 2020PECOS Enrolled

1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906(719) 598-3585 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, May 23, 2020 (2 updates tracked since 2020).

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About Christopher Costanza Psyd NPPES

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

CHRISTOPHER COSTANZA PSYD (NPI 1366065419) is an individual clinical neuropsychologist in Colorado Springs, Colorado, licensed in Colorado (PSY.0007084) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366065419

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameCHRISTOPHER COSTANZACredential: PSYD

Location Address1259 LAKE PLAZA DR STE 255Colorado Springs, CO 80906-3542

Mailing Address1259 Lake Plaza Dr Ste 255Colorado Springs, CO 80906-3542 · (719) 598-3585

Phone(719) 598-3585

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 23, 2020

Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1366065419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CO · PSY.0007084

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1259 LAKE PLAZA DR STE 255, Colorado Springs, CO 80906

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Costanza Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456811744

PECOS Enrollment IDI20260906000056

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Christopher Costanza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pickett Psychological Services, LLC

Same address

Clinical

1259 LAKE PLAZA DR STE 255
Colorado Springs, CO 80906

Reassigned Medicare billing, Colorado enrollment
11 clinicians in this Medicare group

NPI 1598434300 (719) 598-3585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINTON PICKETT

Psychologist (Clinical)