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DR. TETYANA KOSTYSHYNA PSYD, LCPC, LSOE/TP
NPI 1083168041
Psychologist - Clinical in St Charles, IL

Active since August 08, 2016
555 S RANDALL RD STE 204, ST CHARLES, IL 60174(312) 818-9300(888) 488-2604 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2024, Feb 17, 2021, Apr 18, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Tetyana Kostyshyna Psyd, Lcpc, Lsoe/tp NPPES

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

DR. TETYANA KOSTYSHYNA PSYD, LCPC, LSOE/TP (NPI 1083168041) is an individual clinical provider in St Charles, Illinois, licensed in Illinois (071.009432) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1083168041
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TETYANA KOSTYSHYNACredential: PSYD, LCPC, LSOE/TP
Location Address555 S RANDALL RD STE 204St Charles, IL 60174-5918
Mailing Address555 S Randall Rd Ste 204St Charles, IL 60174-5918 · (312) 818-9300 · Fax (888) 488-2604
Phone(312) 818-9300
Fax(888) 488-2604
Sole ProprietorNo
Enumeration DateAugust 8, 2016
Last NPPES UpdateNovember 4, 20245 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1083168041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.009432
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180009177 (IL)
Also ListedPsychologistTaxonomy 103T00000X · License 3415 - 57 (WI)
555 S RANDALL RD STE 204, St Charles, IL 60174
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Other Providers at the Same Location NPPES

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

SPECIALIZED FORENSIC UNIT PC
Clinic/Center (Adolescent and Children Mental Health)
555 S RANDALL RD STE 204
ST CHARLES, IL 60174
Kane County (312) 818-9300

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 Tetyana Kostyshyna's NPI number?

The NPI number for Tetyana Kostyshyna is 1083168041. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Where is Tetyana Kostyshyna located?

Tetyana Kostyshyna practices at 555 S Randall Rd Ste 204, St Charles, IL 60174. The listed phone number is (312) 818-9300.

What is Tetyana Kostyshyna's specialty?

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

When was this NPI record last updated?

The NPPES record for Tetyana Kostyshyna was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.