SPECIALIZED FORENSIC UNIT PC – Psychologist, NPI 1396283768

SPECIALIZED FORENSIC UNIT PC is a healthcare provider. based in St charles, Illinois. specializing in Psychologist. The organization holds a License No. 3415 - 57 (WI). The NPI Number for SPECIALIZED FORENSIC UNIT PC is 1396283768

Main info

Organization
Name
SPECIALIZED FORENSIC UNIT PC
NPI
1396283768
Phone
(312) 818-9300
Address
555 S RANDALL RD STE 204
Authorized Official
DR. TETYANA KOSTYSHYNA PSYCHOLOGIST, MANAGER PSYD, LCPC, LSOE/TP
Enumeration Date
6 February 2017
Last Update Date
4 November 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for SPECIALIZED FORENSIC UNIT PC

  • 555 S RANDALL RD STE 204

    ST CHARLES, IL 601745918

    Phone: (312) 818-9300

    Fax: (888) 488-2604

    Type: Mailing

  • North Ashland Avenue, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60607, United States

    CHICAGO, IL 606577701

    Phone: (312) 818-9300

    Fax: (888) 488-2604

    Type: Mailing

  • North 124th Street, Wauwatosa, Milwaukee County, Wisconsin, 53005:53222, United States

    WAUWATOSA, WI 532261071

    Phone: (414) 443-1773

    Type: Location

  • 303 N 2ND ST STE 22

    ST CHARLES, IL 601741804

    Phone: (312) 818-9300

    Fax: (888) 488-2604

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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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 60174)

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Frequently asked questions

What is the standard ID for SPECIALIZED FORENSIC UNIT PC in the U.S.?
In the U.S., SPECIALIZED FORENSIC UNIT PC is identified by NPI 1396283768.
Does the public listing show SPECIALIZED FORENSIC UNIT PC as active?
SPECIALIZED FORENSIC UNIT PC's NPI record reflects an active status in NPPES.
What services align with SPECIALIZED FORENSIC UNIT PC's listing?
SPECIALIZED FORENSIC UNIT PC's public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SPECIALIZED FORENSIC UNIT PC?
SPECIALIZED FORENSIC UNIT PC is associated with St Charles, Illinois in the same public data insurers reference.
Who maintains SPECIALIZED FORENSIC UNIT PC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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