DR. JESSICA O KOSTELNIK PH.D., LCP
NPI 1578810875
Psychologist - Clinical in Charlottesville, VA

Q: What is Jessica Kostelnik's NPI number?

The NPI number for Jessica Kostelnik is 1578810875. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: Where is Jessica Kostelnik located?

Jessica Kostelnik practices at 205 E High St Jao5j@virginia.Edu, Charlottesville, VA 22902. The listed phone number is (434) 963-0324.

Q: What is Jessica Kostelnik's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kostelnik was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 07, 2012

205 E HIGH ST, [email protected], CHARLOTTESVILLE, VA 22902(434) 963-0324(434) 971-4525 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jessica O Kostelnik Ph.d., Lcp NPPES

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

DR. JESSICA O KOSTELNIK PH.D., LCP (NPI 1578810875) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810004607) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1578810875

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA O KOSTELNIKCredential: PH.D., LCP

Location Address205 E HIGH ST, [email protected]Charlottesville, VA 22902-5516

Mailing Address205 East High Street, [email protected]Charlottesville, VA 22902 · (434) 963-0324 · Fax (434) 971-4525

Phone(434) 963-0324

Fax(434) 971-4525

Sole ProprietorYes

Enumeration DateAugust 7, 2012

✔ NPI 1578810875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810004607

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

205 E HIGH ST, Charlottesville, VA 22902

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL CIUDIN M.D.

Psychiatry & Neurology (Psychiatry)