STEPHANIE NICOLE PUGA-BERNALDO MD
NPI 1699351411
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chicago, IL

Q: What is Stephanie Puga-bernaldo's NPI number?

The NPI number for Stephanie Puga-bernaldo is 1699351411. It was assigned to this individual provider in the NPPES registry on March 22, 2021. The provider is also known as Stephanie Nicole Puga.

Q: What is Stephanie Puga-bernaldo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since March 22, 2021PECOS Enrolled

1747 W ROOSEVELT RD, CHICAGO, IL 60608(312) 996-0434 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Mar 29, 2021, Mar 22, 2021 (3 updates tracked since 2021).

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About Stephanie Nicole Puga-bernaldo Md NPPES

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

STEPHANIE NICOLE PUGA-BERNALDO MD (NPI 1699351411) is an individual child & adolescent psychiatry provider in Chicago, Illinois, licensed in Illinois (036173650) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699351411

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameSTEPHANIE NICOLE PUGA-BERNALDOCredential: MD

Location Address1747 W ROOSEVELT RDChicago, IL 60608-1264

Mailing Address1747 W Roosevelt RdChicago, IL 60608-1264 · (312) 996-0434

Phone(312) 996-0434

Sole ProprietorNo

Enumeration DateMarch 22, 2021

Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1699351411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in IL · 036173650

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1747 W ROOSEVELT RD, Chicago, IL 60608

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Other Names 1

Former Name (1)Stephanie Nicole Puga

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Nicole Puga-bernaldo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. ERIKA LUZ GUSTAFSON PHD

Psychologist

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 996-2200

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS

General Acute Care Hospital

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 996-7723

DR. DANA RUSCH PH.D.

Psychologist (Clinical Child & Adolescent)

1747 W ROOSEVELT RD, INSTITUTE FOR JUVENILE RESEARCH, COLBETH CLINIC
CHICAGO, IL 60608

Cook County (312) 996-7723

JULIA WENZLAFF LCSW

Social Worker (Clinical)

1747 W ROOSEVELT RD, 155 IJR
CHICAGO, IL 60608

Cook County (312) 996-8083

MAANASA BANDLA

Psychiatry & Neurology (Psychiatry)

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 996-9593

DR. NIRANJAN KARNIK M.D., PH.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 273-0185

MYA WILDER

Student in an Organized Health Care Education/Training Program

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 355-1203

JENNIFER SUOR PH.D.

Psychologist (Clinical)

1747 W ROOSEVELT RD
CHICAGO, IL 60608

Cook County (312) 355-3871

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 Stephanie Puga-bernaldo's NPI number?

The NPI number for Stephanie Puga-bernaldo is 1699351411. It was assigned to this individual provider in the NPPES registry on March 22, 2021. The provider is also known as Stephanie Nicole Puga.

Where is Stephanie Puga-bernaldo located?

Stephanie Puga-bernaldo practices at 1747 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 996-0434.

What is Stephanie Puga-bernaldo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Stephanie Puga-bernaldo enrolled in Medicare?

Yes. Stephanie Puga-bernaldo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Puga-bernaldo was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.