SAMUEL THOMAS MACY PSYD
NPI 1033571260
Psychologist - Clinical in Chicago, IL

Q: What is Samuel Macy's NPI number?

The NPI number for Samuel Macy is 1033571260. It was assigned to this individual provider in the NPPES registry on March 26, 2016. The provider is also known as Sam Macy.

Q: What is Samuel Macy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Samuel Macy enrolled in Medicare?

No. Samuel Macy has opted out of Medicare through May 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Samuel Macy was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2016Opted out of Medicare · through May 22, 2028

307 N MICHIGAN AVE STE 1014, VITA NOVA LLC, CHICAGO, IL 60601(773) 234-3258 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2016, Mar 26, 2016 (2 updates tracked since 2016).

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About Samuel Thomas Macy Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL THOMAS MACY PSYD (NPI 1033571260) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009275) and active in the NPI registry since March 2016. He has opted out of Medicare through May 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033571260

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameSAMUEL THOMAS MACYCredential: PSYD

Location Address307 N MICHIGAN AVE STE 1014, VITA NOVA LLCChicago, IL 60601-5310

Mailing Address307 N Michigan Ave Ste 1014, Vita Nova LlcChicago, IL 60601-5310

Phone(773) 234-3258

Sole ProprietorNo

Enumeration DateMarch 26, 2016

Last NPPES UpdateMarch 31, 20162 updates tracked since enumeration

✔ NPI 1033571260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071009275

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

307 N MICHIGAN AVE STE 1014, Chicago, IL 60601

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Other Names 1

Professional Name (2)Sam Macy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samuel Thomas Macy Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2016 through May 22, 2028.

Opt-Out Effective DateMay 22, 2016

Opt-Out In Effect ThroughMay 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEHINDE OLADELE

Student in an Organized Health Care Education/Training Program