Healthcare Provider Details

I. General information

NPI: 1881338648
Provider Name (Legal Business Name): ASHLEE COSTA PMHNP-BC, DNP, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2022
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FEDERAL ST STE 220
GREENFIELD MA
01301-2592
US

IV. Provider business mailing address

102 MAIN ST
GREENFIELD MA
01301-3275
US

V. Phone/Fax

Practice location:
  • Phone: 413-225-2792
  • Fax: 833-941-2303
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2292017
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: