Sarah Ashley Pekoc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010719 Issued in IL

Practice address

5100 N Ravenswood Ave
Chicago, IL 60640-1710

Phone

(773) 316-2444

NPI assigned

Feb 10, 2022

Last updated

Feb 10, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sarah Pekoc PSYD LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1669229076
  NPD Authorized official

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1619621448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 N KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412839",
            "telephone_number": "773-316-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401710",
            "telephone_number": "773-316-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKOC",
        "first_name": "SARAH",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Alexander Peist, PHD
• Sara Peixoto Rabelo, MD
• Jamie Suzanne Pekarek Krohn, LCPC
• Maria Pekic, APRN, CNP
• Peko Healthcare and Consulting Services, Inc. (PEKO Home Health Services)
• Svetlana Pekovic, O.D.
• Joel Pekow
• Brenda Pelaez
• Olivia Pelaez, DCN,MS,IFMCP
• Victor Manuel Pelaez, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.