Katina K Kostoulas, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10938 Issued in CA

Practice address

3245 Anza St
San Francisco, CA 94121-3025

Phone

(415) 463-5119

Fax

(415) 340-3261

NPI assigned

Nov 27, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Daz & Associates Inc

  dba DAZ Foundation

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1235435520
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1922174572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 ANZA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213025",
            "telephone_number": "415-463-5119",
            "fax_number": "415-340-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 ANZA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213025",
            "telephone_number": "415-463-5119",
            "fax_number": "415-340-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOULAS",
        "first_name": "KATINA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noele A Kostelic
• Felicitas Koster, D.O.
• Hillary Koster, MS
• Skylar Marie Kostick, PA-C
• Vera Kostko
• Alexander Louis Kostrinsky-Thomas, DO
• Martin Kosztowski, M.D.
• Sarah Koszyk, M.A., R.D.
• Aparna Kota, MD, MPH
• Sharonlee Kotabe, PHARMD

• Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.