Active NPI
Yara R. Costa, PSYD, MS
- Clinical Psychologist
- Deerfield, IL
National Provider Identifier
1689871923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009332
- Practice address
- 420 Lake Cook Rd
Deerfield, IL 60015-5646 - Phone
- (847) 343-5554
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 071009332 | IL | |
| Clinical Psychologist | 103TC0700X | 071009332 | IL | Primary |
Addresses
Primary practice location
420 Lake Cook Rd
Deerfield, IL 60015-5646
Mailing address
1500 South Fairfield Office #NR-260
Chicago, IL 60608-1782
Phone (847) 343-5554
Other practice location 1
3229 N Hamlin Ave Uppr 2F
Chicago, IL 60618-5238
Phone (847) 343-5554
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.03 of 100
- Quality
- 71.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009332 | IL | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Clinic PLLC | Multi-Specialty | Current | Accepting new patients |
| Mount Sinai Community Foundation | Multi-Specialty | Current | Accepting new patients |
| Mount Sinai Community Foundation | Multi-Specialty | Current | Accepting new patients |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Lutheran Social Services of Illinois | Clinical | Past | Accepting new patients |
Locations
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
1500 S Fairfield Ave
Ofc NR260
Chicago, IL 60608
1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404
1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
Multi-Specialty
-
- Psychiatric Hospital
- Chicago, IL
- NPI 1700082971
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063637684
Clinical
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1427547538
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1962425611
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1871581314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709424000000",
"number": "1689871923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SOUTH FAIRFIELD OFFICE #NR-260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081782",
"telephone_number": "847-343-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LAKE COOK RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600155646",
"telephone_number": "847-343-5554"
}
],
"practiceLocations": [
{
"address_1": "3229 N Hamlin Ave Uppr 2F",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606185238",
"country_code": "US",
"telephone_number": "847-343-5554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSTA",
"first_name": "YARA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PSYD, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2024-03-03",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "IL",
"license": "071009332",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; 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.