Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jesse Lee Costales, MD

Individual provider Psychiatry Physician · NPI 1619266897

Dr. Jesse Lee Costales, MD is a Psychiatry Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3009 W McRae Way
Phoenix, AZ 85027-4915
Phone: (602) 353-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 58656 (AZ)

Record details

NPI number1619266897
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

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