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

Dr. George J Costanzo, DC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1467401802

Dr. George J Costanzo, DC is a Nurse Practitioner in Southington, Connecticut. Qualified in 2019, 7 years ago. Practices with Connecticut Center for Psychiatric Wellness LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

340 N Main St
Southington, CT 06489-2529
Phone: (860) 621-0131
Fax: (860) 621-1533
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8461 (CT)

Record details

NPI number1467401802
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 10, 2006
Last updated in NPPESSeptember 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Connecticut Center For Psychiatric Wellness Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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