DR. ANGELA N CHASTAIN (PSYD) – Professional Counselor, NPI 1053603266

DR. ANGELA N CHASTAIN (PSYD) is a healthcare provider. based in Bolingbrook, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 071.008223 (IL). The NPI Number for DR. ANGELA N CHASTAIN (PSYD) is 1053603266

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANGELA N CHASTAIN (PSYD)
NPI
1053603266
Phone
(815) 727-8521
Address
323 QUADRANGLE DR
Enumeration Date
5 May 2011
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308596800
Graduation Year
2007 (19 years ago)
PAC ID
5294021093
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20160902000967
Address ID
IL605066209AU2285XDRXX300
Telehealth
Yes

Contacts

Secure Messaging
achastain395679@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. ANGELA N CHASTAIN (PSYD)

  • 323 QUADRANGLE DR

    BOLINGBROOK, IL 604403409

    Phone: (815) 727-8521

    Type: Mailing

  • 501 ELLA AVE

    JOLIET, IL 604332799

    Phone: (815) 727-8521

    Type: Location

  • 2285 Sequoia Dr

    Aurora, IL 605066209

    Phone: (630) 906-5120

    Fax: (630) 906-5093

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160902000967IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. ANGELA N CHASTAIN (PSYD) using NPI 1053603266?
NPI 1053603266 belongs to DR. ANGELA N CHASTAIN (PSYD); compare other details if you need extra assurance.
Would DR. ANGELA N CHASTAIN (PSYD) appear as active to a payer?
You can treat DR. ANGELA N CHASTAIN (PSYD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. ANGELA N CHASTAIN (PSYD)'s focus?
For DR. ANGELA N CHASTAIN (PSYD), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is DR. ANGELA N CHASTAIN (PSYD) located near Bolingbrook?
DR. ANGELA N CHASTAIN (PSYD) currently maps to Bolingbrook, Illinois in this extract.
Can I trust this NPI listing for DR. ANGELA N CHASTAIN (PSYD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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