| Mariposa Psychological Services Pllc | |
|
7620 W 159th St Ste 108 Orland Park IL 60462-5400 | |
| (773) 546-8261 | |
| Not Available |
| Full Name | Mariposa Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 7620 W 159th St Ste 108, Orland Park, Illinois |
| Authorized Official Name and Position | Sara Marie Coria-macias (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7733658393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariposa Psychological Services Pllc 7620 W 159th St Ste 108 Orland Park IL 60462-5400 Ph: (708) 365-8393 | Mariposa Psychological Services Pllc 7620 W 159th St Ste 108 Orland Park IL 60462-5400 Ph: (773) 546-8261 |
| NPI Number | 1548976244 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 06/04/2023 |
| Certification Date | 06/04/2023 |
| Medicare PECOS PAC ID | 1850751611 |
|---|---|
| Medicare Enrollment ID | O20230712002846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548976244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara M Coria-macias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841773777 PECOS PAC ID: 2062751977 Enrollment ID: I20190311001318 |
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