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COSTA CLINICAL PSYCHOLOGY, LLC
NPI 1881144178
Psychologist - Clinical in Brookings, OR

Active since October 11, 2016
625 SPRUCE ST., # 7666, BROOKINGS, OR 97415(541) 412-0700(541) 412-0711 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Costa Clinical Psychology, Llc NPPES

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

COSTA CLINICAL PSYCHOLOGY, LLC (NPI 1881144178), doing business as Teresa I. Costa, Psyd, is a healthcare organization registered as a clinical in Brookings, Oregon and active in the NPI registry since October 2016. The organization lists Teresa Ione Costa, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1881144178
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOSTA CLINICAL PSYCHOLOGY, LLC
Location Address625 SPRUCE ST., # 7666Brookings, OR 97415
Mailing Address625 Spruce St., P.o. Box 7666Brookings, OR 97415 · (541) 412-0700 · Fax (541) 412-0711
Phone(541) 412-0700
Fax(541) 412-0711
Organization SubpartNo
Authorized OfficialTeresa Ione CostaClinical Psychologist · (541) 412-0700
Enumeration DateOctober 11, 2016
✔ NPI 1881144178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 2356
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L6298 (OR)
625 SPRUCE ST., Brookings, OR 97415
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Other Names 1

Former Legal Business NameTeresa I. Costa, Psyd

Other Identifiers 2

OtherR16961OR · Medicare Ptan
Medicaid500659667OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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 Costa Clinical Psychology, LLC's NPI number?

The NPI number for Costa Clinical Psychology, LLC is 1881144178. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider was formerly known as Teresa I. Costa, Psyd.

Where is Costa Clinical Psychology, LLC located?

Costa Clinical Psychology, LLC is located at 625 Spruce St. # 7666, Brookings, OR 97415. The listed phone number is (541) 412-0700.

What is Costa Clinical Psychology, LLC's specialty?

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

What insurance does Costa Clinical Psychology, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Costa Clinical Psychology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Costa Clinical Psychology, LLC was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.