DR. THOMAS J ROSTAFINSKI (PHD) – Clinical Psychologist, NPI 1508859521

DR. THOMAS J ROSTAFINSKI (PHD) is a healthcare provider. based in River forest, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 713164 (IL). The NPI Number for DR. THOMAS J ROSTAFINSKI (PHD) is 1508859521

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS J ROSTAFINSKI (PHD)
NPI
1508859521
Phone
(708) 848-1611
Address
7627 LAKE ST STE 215
Enumeration Date
24 August 2005
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087711300
Graduation Year
1981 (45 years ago)
PAC ID
4284664202
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050818000597
Address ID
IL603051133RI7617XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
trostafinski6805@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. THOMAS J ROSTAFINSKI (PHD)

  • 7627 LAKE ST STE 215

    RIVER FOREST, IL 603051878

    Phone: (708) 848-1611

    Fax: (708) 848-1436

    Type: Mailing

  • 1140, Lake Street, Oak Park, Montgomery, Montgomery County, Alabama, 36104, United States

    SUITE 508

    OAK PARK, IL 603011053

    Phone: (708) 848-1611

    Fax: (708) 848-1436

    Type: Mailing

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: 2005-08-18

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
I20050818000597IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes18713$0
View full utilization report →

Insurance plans in this area (ZIP 60305)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

Can I verify DR. THOMAS J ROSTAFINSKI (PHD) with an NPI only?
You can start verification with NPI 1508859521 for DR. THOMAS J ROSTAFINSKI (PHD), then check state licensing separately.
Can I rely on DR. THOMAS J ROSTAFINSKI (PHD) being an active provider?
As of the registry snapshot, DR. THOMAS J ROSTAFINSKI (PHD) is marked active.
What is DR. THOMAS J ROSTAFINSKI (PHD) best known for clinically?
Directory data describes DR. THOMAS J ROSTAFINSKI (PHD) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. THOMAS J ROSTAFINSKI (PHD) based?
DR. THOMAS J ROSTAFINSKI (PHD) is tied to River Forest, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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