Individual provider Active NPI

Ariana G. Vidana

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1023794864
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.021068 Issued in IL
Practice address
325 S Paulina St
Chicago, IL 60612-3206
Phone
(312) 942-8387
Fax
(312) 563-1447
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.021068 IL Primary
Psychologist 103T00000X

Addresses

Primary practice location

325 S Paulina St
Chicago, IL 60612-3206

Mailing address

325 S Paulina St
Chicago, IL 60612-3206
Phone (312) 942-8387

Other practice location 1

369 Lexington Ave
Suite 14A
New York, NY 10017-6526
Phone (212) 204-8430

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250606002248 IL Practitioner - Clinical Psychologist 6608386883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

325 S Paulina St
Chicago, IL 60612-3206
Phone (312) 942-8387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.021068ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Clinical CurrentSince May 27, 2025 Accepting new patients
Wholeview Wellness, LLC CurrentSince Jul 1, 2023 Accepting new patients
Wholeview Psychological Services, PLLC Clinical CurrentSince Jul 1, 2023 Accepting new patients
Rush University Medical Center CurrentSince May 27, 2025 Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

325 S Paulina St
Fl 2
Chicago, IL 60612
Phone (312) 563-1463

325 S Paulina St
Chicago, IL 60612
Phone (312) 563-1535

75 Remittance Dr
Dept 1611
Chicago, IL 60675

369 Lexington Ave
Rm 14A
New York, NY 10017
Phone (212) 204-8430

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1023794864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123206",
            "telephone_number": "312-942-8387",
            "fax_number": "312-563-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123206",
            "telephone_number": "312-942-8387",
            "fax_number": "312-563-1447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 Lexington Ave",
            "address_2": "Suite 14A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176526",
            "country_code": "US",
            "telephone_number": "212-204-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDANA",
        "first_name": "ARIANA",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.021068",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.