MR. JESSE DONALD KOSIBA PH.D.
NPI 1760043632
Psychologist - Clinical in Newton, MA

Q: What is Jesse Kosiba's NPI number?

The NPI number for Jesse Kosiba is 1760043632. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Q: What is Jesse Kosiba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jesse Kosiba enrolled in Medicare?

No. Jesse Kosiba has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jesse Kosiba was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 21, 2019Opted out of Medicare · through Aug 30, 2026

1075 WASHINGTON ST, NEWTON, MA 02465(508) 876-7202 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jesse Donald Kosiba Ph.d. NPPES

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

MR. JESSE DONALD KOSIBA PH.D. (NPI 1760043632) is an individual clinical provider in Newton, Massachusetts, licensed in Massachusetts (11743) and active in the NPI registry since June 2019. He has opted out of Medicare through August 30, 2026.

NPPES Registry Identity

NPI1760043632

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. JESSE DONALD KOSIBACredential: PH.D.

Location Address1075 WASHINGTON STNewton, MA 02465-2185

Mailing Address1075 Washington StNewton, MA 02465-2185 · (508) 876-7202

Phone(508) 876-7202

Sole ProprietorNo

Enumeration DateJune 21, 2019

Last NPPES UpdateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1760043632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 11743

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1075 WASHINGTON ST, Newton, MA 02465

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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

Mr. Jesse Donald Kosiba Ph.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 August 30, 2022 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2022

Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DR. CHARLES LINDLEY M.D.

Psychiatry & Neurology (Psychiatry)

1075 WASHINGTON ST
WEST NEWTON, MA 02465

Middlesex County (617) 969-9702

LEAH F. SHERMAN LICSW

Social Worker (Clinical)

1075 WASHINGTON ST
WEST NEWTON, MA 02465

Middlesex County (617) 527-2599

DR. SUSAN D SIROTY PSY.D.

Psychologist (Psychoanalysis)

1075 WASHINGTON ST
WEST NEWTON, MA 02465

Middlesex County (617) 965-1885

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 Jesse Kosiba's NPI number?

The NPI number for Jesse Kosiba is 1760043632. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Jesse Kosiba located?

Jesse Kosiba practices at 1075 Washington St, Newton, MA 02465. The listed phone number is (508) 876-7202.

What is Jesse Kosiba's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jesse Kosiba enrolled in Medicare?

No. Jesse Kosiba has opted out of Medicare through August 30, 2026. 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 Jesse Kosiba was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.