Dr Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP is a
Psychologist - Clinical based in St Charles, Illinois. Dr Tetyana Kostyshyna is licensed to practice in Illinois (license number 071.009432) and her current practice location is
303 N 2nd St Ste 22, St Charles, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 818-9300.
NPI number for Dr Tetyana Kostyshyna is 1083168041 and her current mailing address is 303 N 2nd St Ste 22, St Charles, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083168041.
Healthcare Provider's Profile
Full Name | Dr Tetyana Kostyshyna |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 303 N 2nd St Ste 22, St Charles, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083168041
- Provider Enumeration Date: 08/08/2016
- Last Update Date: 02/17/2021
Medical Identifiers
Medical identifiers for Dr Tetyana Kostyshyna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083168041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180009177 (Illinois) | Secondary |
103T00000X | Psychologist | 3415 - 57 (Wisconsin) | Secondary |
103TC0700X | Psychologist - Clinical | 071.009432 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tetyana Kostyshyna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP 303 N 2nd St Ste 22, St Charles, IL 60174-1804 Ph: (312) 818-9300 | Dr Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP 303 N 2nd St Ste 22, St Charles, IL 60174-1804 Ph: (312) 818-9300 |
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