Individual provider Active NPI

Linda R Kostyak, PH D

  • Counseling Psychologist
  • Pittsburgh, PA
National Provider Identifier
1457469645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS009174L Issued in PA
Practice address
4716 Ellsworth Avenue
Suite 102 Catherdal Mansions
Pittsburgh, PA 15213
Phone
(412) 621-9979
Fax
(412) 621-9573
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS009174L PA Primary

Addresses

Primary practice location

4716 Ellsworth Avenue
Suite 102 Catherdal Mansions
Pittsburgh, PA 15213

Mailing address

4716 Ellsworth Avenue
Suite 102 Catherdal Mansions
Pittsburgh, PA 15213
Phone (412) 621-9979

Other identifiers 6

IdentifierTypeStateIssuer
0000006395OtherPAUPMC HEALTH PLAN
1306225OtherPAHIGHMARK MAGELLAN
XXXXX7812OtherPAUNITED BEHAVIORAL HEALTH
01829885MedicaidPA
498471OtherPAVALUE OPTIONS HEALTH AMER
251878129OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20051209000417 PA Practitioner - Clinical Psychologist 7315968054 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5701 Centre Ave
Pittsburgh, PA 15206-3791
Phone (412) 661-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sloan Counseling and Art Therapy, LLC PastSince Jul 17, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457469645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 ELLSWORTH AVENUE",
            "address_2": "SUITE 102 CATHERDAL MANSIONS",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-621-9979",
            "fax_number": "412-621-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ELLSWORTH AVENUE",
            "address_2": "SUITE 102 CATHERDAL MANSIONS",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-621-9979",
            "fax_number": "412-621-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTYAK",
        "first_name": "LINDA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS009174L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "0000006395",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MAGELLAN",
            "identifier": "1306225",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "XXXXX7812",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01829885",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS HEALTH AMER",
            "identifier": "498471",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "251878129",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.