Elizabeth Jane Kostrey, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A76521 Issued in CA

Practice address

2258 Foothill Blvd
Suite300
La Canada, CA 91011-1457

Phone

(818) 957-2248

Fax

(818) 249-1425

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Elizabeth Jane Hall Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Southern Illinois University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cognacare Neurologic IncGroup PAC ID 4981125531, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Cognacare Neurologic, Inc

  • Neurology Physician
  • Glendale, CA
  • NPI 1902603905
  Medicare reassignment Care Compare group NPD
• Elizabeth Kostrey, MD, Inc

  • Adult Mental Health Clinic/Center
  • La Canada, CA
  • NPI 1982633616
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Usc Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1033716147
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1851347769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD",
            "address_2": "SUITE300",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111457",
            "telephone_number": "818-957-2248",
            "fax_number": "818-249-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 FOOTHILL BLVD",
            "address_2": "SUITE300",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111457",
            "telephone_number": "818-957-2248",
            "fax_number": "818-249-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTREY",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A76521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HALL",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caroline Sohjung Kim, OTR/L
• Denny Kim
• Jeaninne Keren Kim, L.AC.
• Jonas Kim, PHARM D.
• Sandy Kim, O.D.
• Vasanth K Kumar, M.D.
• Nesita Kwan, LMFT
• Jashu Lad, PHARM D
• Jill Larsen
• Jacquelyn Larson, MS, LMFT

• Psychiatry Physician in La Canada, CA
• Providers in La Canada, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.