LAURIE COSTIGAN (PSY.D; LMHC) – Psychologist, NPI 1689638991

LAURIE COSTIGAN (PSY.D; LMHC) is a healthcare provider. based in Worcester, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D; LMHC. They hold a License No. 4052 (MA). The NPI Number for LAURIE COSTIGAN (PSY.D; LMHC) is 1689638991

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE COSTIGAN (PSY.D; LMHC)
NPI
1689638991
Phone
(508) 852-1805
Address
19 TACOMA ST
Enumeration Date
13 April 2006
Last Update Date
20 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008532288
Graduation Year
2006 (20 years ago)
PAC ID
3375739055
Group Practice PAC ID
3476512740
Professional Enrollment ID
I20101119000779
Address ID
MA016051901WO605XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for LAURIE COSTIGAN (PSY.D; LMHC)

  • 19, Tacoma Street, Great Brook Valley Gardens, Great Brook Valley, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 016053516

    Phone: (508) 852-1805

    Fax: (508) 853-8593

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101119000779IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476512740View full group profile
NameSpecialtyState
Internal Medicine, Addiction MedicineMA
P S Y C H I A T R YMA
Nurse PractitionerNH
-MA
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Physician AssistantMA
Family PracticeRI

Reviews

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Frequently asked questions

What federal number belongs to LAURIE COSTIGAN (PSY.D; LMHC)?
The federal identifier for LAURIE COSTIGAN (PSY.D; LMHC) is NPI 1689638991.
Is LAURIE COSTIGAN (PSY.D; LMHC) active in the national directory?
LAURIE COSTIGAN (PSY.D; LMHC)'s public NPI profile is in an active state.
What kind of provider is LAURIE COSTIGAN (PSY.D; LMHC)?
The page reflects Psychologist for LAURIE COSTIGAN (PSY.D; LMHC). Clinical services aligned with this taxonomy classification.
What location metadata exists for LAURIE COSTIGAN (PSY.D; LMHC)?
The page summarizes Worcester, Massachusetts for LAURIE COSTIGAN (PSY.D; LMHC); expand the address list for detail.
Is LAURIE COSTIGAN (PSY.D; LMHC) a real provider?
This page reflects official NPPES data for NPI 1689638991. Always confirm identity and privileges with the practice and licensing boards.

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