KATIE SALYER SZOSTAK (PSY.D.) – Clinical Psychologist, NPI 1336633627

KATIE SALYER SZOSTAK (PSY.D.) is a healthcare provider. based in Gurnee, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071.008885 (IL). The NPI Number for KATIE SALYER SZOSTAK (PSY.D.) is 1336633627

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
KATIE SALYER SZOSTAK (PSY.D.)
NPI
1336633627
Phone
(847) 840-6803
Address
638 RAVINIA DR
Enumeration Date
19 June 2018
Last Update Date
19 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477966400
Graduation Year
2008 (18 years ago)
PAC ID
1153670450
Group Practice PAC ID
8426288978
Professional Enrollment ID
I20180820003398
Address ID
IL600451973LA225XXDEER302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for KATIE SALYER SZOSTAK (PSY.D.)

  • 638, Ravinia Drive, Gurnee, Lake County, Illinois, 60031, United States

    GURNEE, IL 600314092

    Phone: (847) 840-6803

    Mailing address matches the actual address.

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: 2018-08-20

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
I20180820003398IClinical 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 60031)

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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: 8426288978View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL
-IL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is KATIE SALYER SZOSTAK (PSY.D.)'s NPI number?
KATIE SALYER SZOSTAK (PSY.D.)'s NPI is 1336633627 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KATIE SALYER SZOSTAK (PSY.D.)?
For scheduling context, KATIE SALYER SZOSTAK (PSY.D.) is shown as active in the registry.
What area of care is associated with KATIE SALYER SZOSTAK (PSY.D.)?
KATIE SALYER SZOSTAK (PSY.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is KATIE SALYER SZOSTAK (PSY.D.) associated with Gurnee?
Public fields place KATIE SALYER SZOSTAK (PSY.D.) around Gurnee, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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