Mariposa Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MARIPOSA PSYCHOLOGICAL SERVICES PLLC

Practice address

7620 W 159TH St Ste 108
Orland Park, IL 60462-5400

Phone

(773) 546-8261

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Sara Marie Coria-Macias, PSY.DNPI 1841773777

Title

Licensed Clinical Psychologist

Phone

(773) 365-8393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Marie Coria-Macias, PSY.D.

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1841773777
  Medicare reassignment NPD Authorized official
• Lisa Kuiper, LCPC

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1477056075
  Medicare reassignment NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685836800000",
    "number": "1548976244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 W 159TH ST STE 108",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625400",
            "telephone_number": "708-365-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 W 159TH ST STE 108",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625400",
            "telephone_number": "773-546-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A",
        "authorized_official_last_name": "CORIA-MACIAS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-365-8393",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terese Marchelletta, OTR/L
• Joseph Marchese
• Susan E Marcotte, D.O.
• Craig Marcus, OTR
• James Frederick Margas
• Robyn B Markham, LCPC
• Robert S Markus, MD
• Dawn A Marnell, FNP-C
• Silvio Marra, MD
• Robert K Marshall, PH.D.

• Clinical Psychologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.