Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538252341 Individual Practitioner Female Practitioner

Dr. Ellen M. Costello , PhD

Psychologist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Ellen Costello, PhD is a registered healthcare professional specializing in Psychologist in Providence, RI. Practice services are available at 345 BLACKSTONE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

345 Blackstone Blvd

Providence, RI 029064800

Telephone 4014556416
Fax 4014556293
Associated Practice Facility / Clinic
🏢 Butler Hospital Facility NPI 1104801349

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 33.6 Yrs
Regional Practice Density
124 Specialists

Practicing in Providence, RI (255 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License RI PS00412

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
24002-0 (RI)
Commercial Insurance / Payer ID Blue Chip
406371 (RI)
Commercial Insurance / Payer ID Ubh
61-11464 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1063562254

Doctor of Philosophy (Ph.D.)

Dr. Sharon Silverman Shepard , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1124086053

Doctor of Medicine (M.D.)

Dr. Ana Abrantes , PhD

Psychologist - Addiction (Substance Use Disorder)

NPI 1205000544

Doctor of Philosophy (Ph.D.)

NPI 1235387770

Doctor of Philosophy (Ph.D.)

Dr. Tracey Guthrie , MD

Psychiatry & Neurology - Psychiatry

NPI 1255345849

Doctor of Medicine (M.D.)

Dr. Hung-Teh Kao , MD

Psychiatry & Neurology - Psychiatry

NPI 1326282468

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 345 BLACKSTONE BLVD, PROVIDENCE, RI 029064800 (Tel: 4014556416)

📍
Updated Business Mailing Address July 08, 2007

Registered at 345 BLACKSTONE BLVD, PROVIDENCE, RI 029064800 (Tel: 4014556416)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELLEN COSTELLO, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PS00412 in RI)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538252341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

345 Blackstone Blvd

Providence, RI 029064800

Phone: 4014556416

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.