SPECIALIZED FORENSIC UNIT PC NPI 1396283768

NPI Information

NPI: 1396283768
Provider Name: SPECIALIZED FORENSIC UNIT PC
Classification: Clinic/Center - 261QM0855X
Specialization: Adolescent and Children Mental Health
Entity Type: Organization
Address: 555 S RANDALL RD STE 204
ST CHARLES, IL
ZIP 60174
Phone: (312) 818-9300

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NPI Details

SPECIALIZED FORENSIC UNIT PC is an adolescent and children mental health clinic center in St Charles, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. SPECIALIZED FORENSIC UNIT PC NPI is 1396283768. The provider is registered as an organization entity type.

The provider's business location address is:

555 S RANDALL RD STE 204
ST CHARLES, IL
ZIP 60174-918
Phone: (312) 818-9300

The provider's authorized official is Tetyana Kostyshyna .
The authorized official title is Psychologist, Manager and has the following contact phone number (312) 818-9300.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 11/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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