Kathleen M Costello, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007889 Issued in IL

Practice address

14953 S Van Dyke Rd
Plainfield, IL 60544-5804

Phone

(815) 609-1544

Fax

(815) 609-1670

NPI assigned

May 25, 2012

Last updated

Jun 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katey M Feldman Other name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Health and Education Specialists IncGroup PAC ID 2567596190, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health and Education Specialists Inc

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1285812834
  Medicare reassignment Care Compare group NPD
• Bhes Medical Group, LLC

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1386059996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1437419371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14953 S VAN DYKE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14953 S VAN DYKE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATEY",
            "last_name": "FELDMAN",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bruce C Corwin, MD
• Francine Elizabeth Costanza, M.A., LCPC
• Costco Wholesale Corporation (Costco Hearing Aid #1388)
• Costco Wholesale Corporation (Costco Pharmacy #1388)
• Costco Wholesale Corporation (Costco Optical #1388)
• Stacy Countee, DT
• Covenant Care Home Health Inc.
• Megan Alano Covey, M.S., CCC-SLP
• Covid Care of Illinois LLC
• Ashley Crabb

• Clinical Psychologist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.