Mr. Jesse D Kosiba, PHD
Psychologist, Clinical in Newton, Massachusetts
1760043632- Practice location
- 1075 Washington St, Newton, MA 02465-2185
- Phone
- 508-876-7202
- Fax
- —
- Last updated
- February 27, 2024
Jesse Donald Kosiba is a Psychologist, Clinical based in Newton, MA. Jesse Donald Kosiba practices in Newton, MA and has the professional credentials of PHD. The NPI Number for Jesse Donald Kosiba is 1760043632 and holds a License No. 11743 (MA). The current practice location address for Jesse Donald Kosiba is 1075 Washington St, Newton, MA 02465-2185 and can be reached out via phone at 508-876-7202.
Provider Profile Details
- NPI Number
- 1760043632
- Provider Name
- Jesse Donald Kosiba
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1075 Washington St, Newton, MA 02465-2185
- Phone Number
- 508-876-7202
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2019
- Last Update Date
- February 27, 2024
- Certification Date
- February 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1075 Washington St
Newton, MA 02465-2185 - City
- Newton
- State
- Massachusetts
- Zip
- 02465-2185
- Phone Number
- 508-876-7202
Provider Business Mailing Address Details
- Address
- 1075 Washington St
Newton, MA 02465-2185 - City
- Newton
- State
- MA
- Zip
- 02465-2185
- Phone Number
- 508-876-7202
License Information
- License Number
- 11743
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jesse D Kosiba, PHD?
The NPI number of Mr. Jesse D Kosiba, PHD is 1760043632. It was assigned on June 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Jesse D Kosiba, PHD?
Mr. Jesse D Kosiba, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11743.
Where does Mr. Jesse D Kosiba, PHD practice?
The practice location is 1075 Washington St, Newton, MA 02465-2185. The office can be reached at 508-876-7202 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760043632 directly on the NPPES registry website.