DR. SARAH VIDA PUCCIA PSY.D.
NPI 1083952907
Psychologist in Chicago, IL

Active since January 28, 2013Opted out of Medicare · through Jan 20, 2027
3601 N ASHLAND AVE, CHICAGO, IL 60613(872) 222-9153 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sarah Vida Puccia Psy.d. NPPES

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

DR. SARAH VIDA PUCCIA PSY.D. (NPI 1083952907) is an individual psychologist in Chicago, Illinois, licensed in Illinois (071.008339) and active in the NPI registry since January 2013. She has opted out of Medicare through January 20, 2027.

NPPES Registry Identity

NPI1083952907
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SARAH VIDA PUCCIACredential: PSY.D.
Location Address3601 N ASHLAND AVEChicago, IL 60613-3660
Mailing Address1324 W Thorndale AveChicago, IL 60660-3306 · (773) 852-7119 · Fax (773) 784-4035
Sole ProprietorYes
Enumeration DateJanuary 28, 2013
NPI 1083952907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071.008339
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3601 N ASHLAND AVE, Chicago, IL 60613

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Sarah Vida Puccia Psy.d. 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 January 20, 2021 through January 20, 2027.

Opt-Out Effective DateJanuary 20, 2021
Opt-Out In Effect ThroughJanuary 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
3601 N ASHLAND AVE
CHICAGO, IL 60613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Puccia's NPI number?

The NPI number for Sarah Puccia is 1083952907. It was assigned to this individual provider in the NPPES registry on January 28, 2013.

Where is Sarah Puccia located?

Sarah Puccia practices at 3601 N Ashland Ave, Chicago, IL 60613. The listed phone number is (872) 222-9153.

What is Sarah Puccia's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Sarah Puccia enrolled in Medicare?

No. Sarah Puccia has opted out of Medicare through January 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sarah Puccia was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.