Individual provider Active NPI

Sara Marie Coria-Macias, PSY.D.

  • Clinical Psychologist
  • Orland Park, IL
National Provider Identifier
1841773777
Registry record updated Jun 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009829 Issued in IL
Practice address
7620 W 159TH St Ste 108
Orland Park, IL 60462-5400
Phone
(708) 365-8393
NPI assigned
Sep 6, 2018
Last updated
Jun 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.009829 IL Primary

Addresses

Primary practice location

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

Mailing address

7620 W 159TH St Ste 108
Orland Park, IL 60462-5400
Phone (708) 365-8393

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
I20190311001318 IL Practitioner - Clinical Psychologist 2062751977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.009829ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Psychological Services PLLC Clinical CurrentSince Jan 30, 2023 Accepting new patients
Marlin C Hoover PHD PC Clinical CurrentSince Dec 24, 2018 Accepting new patients

Locations

7620 W 159th St
Ste 108
Orland Park, IL 60462
Phone (708) 365-8393

16325 Harlem Ave
Tinley Park, IL 60477
Phone (708) 403-9556

16325 Harlem Ave
Ste 200
Tinley Park, IL 60477
Phone (708) 403-9556

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1841773777",
    "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": "708-365-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIA-MACIAS",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.