DR. JESSICA O KOSTELNIK (NPI# 1578810875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578810875 |
| Entity Type | Individual |
| Full Name | DR. JESSICA O KOSTELNIK |
| Credential | PH.D., LCP |
| Practice Address |
205 E High St [email protected] Charlottesville VA 22902-5516 |
| Mailing Address |
205 East High Street [email protected] Charlottesville VA 22902 |
| Practice Telephone | 4349630324 |
| Practice Fax Number | 4349714525 |
| Mailing Telephone | 4349630324 |
| Mailing Fax Number | 4349714525 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004607 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447803994 | Jessica Ann Kostelnik | Counselor | 373 Burrows St, Pittsburgh, PA 15213-2201 | 2019-07-23 |
| Street Address |
205 E HIGH ST [email protected] |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730129420 | Amy R. Alson | Internal Medicine | 205 E High St, Charlottesville, VA 22902-5516 | 2006-06-08 |
| 1902028608 | Michael A Kaufman | Counselor | 205 E High St, Charlottesville, VA 22902-5116 | 2007-05-03 |
| 1942365309 | Michael N. Garcia | Counselor | 205 E High St, Charlottesville, VA 22902-5116 | 2006-12-26 |
| 1346341807 | Dana R. Herr | Social Worker | 205 E High St, Charlottesville, VA 22902-5116 | 2006-09-26 |
| 1205931680 | Daniel Ciudin | Psychiatry & Neurology | 205 E High St, Charlottesville, VA 22902-5116 | 2006-09-13 |
| 1922112556 | Robert Taibbi | Social Worker | 205 E High St, Charlottesville, VA 22902-5116 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731146 | Matthew Stuart Zimmerman | Psychologist | 977 Kelsey Dr, Charlottesville, VA 22903-7855 | 2020-05-12 |
| 1891282828 | Nino Chkhaidze | Psychologist | 1410 Incarnation Dr # 205, Charlottesville, VA 22901-5708 | 2018-04-16 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1528570868 | White Oak Counseling, Inc. | Psychologist | 667 Berkmar Ct, Charlottesville, VA 22901-1406 | 2017-10-26 |
| 1013434497 | Latasha Leigh Nadasdi | Psychologist | 223 W Main St Ste F, Charlottesville, VA 22902-5071 | 2017-08-25 |
| 1962859637 | Stephanie D. Bajo | Psychologist | 1 Hospital Dr Fl 6, Charlottesville, VA 22908-0001 | 2016-05-23 |
| 1164807491 | Joanna S Yost | Psychologist | 1 Hospital Dr Fl 4, Charlottesville, VA 22908-0816 | 2015-07-28 |
| 1942640396 | Mindful Health Associates LLC | Psychologist | 408 Hidden Ridge Rd, Charlottesville, VA 22902-7243 | 2013-06-30 |
| 1093054082 | Carly Lynne Mount | Psychologist | 302 Hickman Rd Ste 105, Charlottesville, VA 22911-3572 | 2013-02-11 |
| 1588943526 | Allison Elizabeth Anderson | Psychologist | 1928 Arlington Blvd, Suite 107, Charlottesville, VA 22903-1561 | 2011-08-09 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
Please comment or provide details below to improve the information on DR. JESSICA O KOSTELNIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.