DR. THERESA L. COSTALES M.D.
NPI 1518200674
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Q: What is Theresa Costales's NPI number?

The NPI number for Theresa Costales is 1518200674. It was assigned to this individual provider in the NPPES registry on March 27, 2013. The provider is also known as Dr. Theresa L. Mauro M.D..

Q: What is Theresa Costales's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Costales was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 27, 2013PECOS Enrolled

1201 S 7TH AVE STE 150, PHOENIX, AZ 85007(716) 628-6338 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Theresa L. Costales M.d. NPPES

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

DR. THERESA L. COSTALES M.D. (NPI 1518200674) is an individual psychiatry provider in Phoenix, Arizona, licensed in Arizona (57600) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518200674

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. THERESA L. COSTALESCredential: M.D.

Location Address1201 S 7TH AVE STE 150Phoenix, AZ 85007-4075

Mailing Address2390 E Camelback Rd Ste 400Phoenix, AZ 85016-3479 · (716) 628-6338

Phone(716) 628-6338

Sole ProprietorNo

Enumeration DateMarch 27, 2013

Last NPPES UpdateFebruary 16, 2022

NPPES CertifiedFebruary 16, 2022

✔ NPI 1518200674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in AZ · 57600✔ Licensed in NY · 280190-1

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1201 S 7TH AVE STE 150, Phoenix, AZ 85007

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Other Names 1

Former Name (1)Dr. Theresa L. Mauro M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theresa L. Costales M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

COURTNEY AREVALO PA-C

Physician Assistant