Active NPI
Samantha Chiariello, PSYD
- Clinical Psychologist
- Orland Park, IL
National Provider Identifier
1861640393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.007988
- Practice address
- 15826 S la Grange Rd # 233
Orland Park, IL 60462-7793 - Phone
- (708) 864-4920
- NPI assigned
- Sep 9, 2008
- Last updated
- Mar 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.007988 | IL | Primary |
Addresses
Primary practice location
15826 S la Grange Rd # 233
Orland Park, IL 60462-7793
Mailing address
15826 S la Grange Rd # 233
Orland Park, IL 60462-7793
Phone (708) 864-4920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01623882 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007988 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1861640393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15826 S LA GRANGE RD # 233",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604627793",
"telephone_number": "708-864-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15826 S LA GRANGE RD # 233",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604627793",
"telephone_number": "708-864-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIARIELLO",
"first_name": "SAMANTHA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.007988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01623882",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.