Fox Clinical Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008556 Issued in IL

Legal business name

FOX CLINICAL SERVICES

Practice address

116 Crissey Ave
Geneva, IL 60134-2809

Phone

(630) 776-9095

NPI assigned

Mar 11, 2017

Organization subpart

No

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

Authorized official

Name

Nick Costakis, PSYD

Title

President

Phone

(630) 776-9095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489190400000",
    "number": "1780125625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CRISSEY AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CRISSEY AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342809",
            "telephone_number": "630-776-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A",
        "authorized_official_last_name": "COSTAKIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-776-9095",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Fisher
• Barbara Lynn Flanagan
• Jenny Flanigan, PTA
• Katherine Flatt
• Foot First Podiatry Centers, V.P.C.
• Fox River Valley Care at Home, LTD.
• Fox Valley Endocrinology, LLC
• Fox Valley Family Physicians
• Fox Valley Family Physicians S.C.
• Fox Valley Foot and Ankle Specialist, LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.