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DR. CARMINE COSTELLO PHD
NPI 1073227054
Psychologist - Forensic in Jefferson, GA

Active since January 13, 2023
385 HIGHTOWER TRAIL, JEFFERSON, GA 30549(770) 731-8257 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carmine Costello Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARMINE COSTELLO PHD (NPI 1073227054) is an individual forensic provider in Jefferson, Georgia and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1073227054
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameDR. CARMINE COSTELLOCredential: PHD
Location Address385 HIGHTOWER TRAILJefferson, GA 30549
Mailing Address850 Windy Hill Rd Se Unit 2084Smyrna, GA 30081-3039
Phone(770) 731-8257
Sole ProprietorYes
Enumeration DateJanuary 13, 2023
Last NPPES UpdateDecember 1, 2023
NPPES CertifiedDecember 1, 2023
✔ NPI 1073227054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
385 HIGHTOWER TRAIL, Jefferson, GA 30549
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmine Costello's NPI number?

The NPI number for Carmine Costello is 1073227054. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Where is Carmine Costello located?

Carmine Costello practices at 385 Hightower Trail, Jefferson, GA 30549. The listed phone number is (770) 731-8257.

What is Carmine Costello's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Carmine Costello was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.