KRISTINA M PECORA PSY.D.
NPI 1922323260
Psychologist - Cognitive & Behavioral in Chicago, IL

Active since March 30, 2010Opted out of Medicare · through Sep 2, 2027
500 N MICHIGAN AVE STE 1520, CHICAGO, IL 60611(312) 498-1166 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2020, Jul 9, 2018, Oct 24, 2017 (3 updates tracked since 2017).

About Kristina M Pecora Psy.d. NPPES

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

KRISTINA M PECORA PSY.D. (NPI 1922323260) is an individual cognitive & behavioral provider in Chicago, Illinois, licensed in Illinois (071007823) and active in the NPI registry since March 2010. She has opted out of Medicare through September 2, 2027.

NPPES Registry Identity

NPI1922323260
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameKRISTINA M PECORACredential: PSY.D.
Location Address500 N MICHIGAN AVE STE 1520Chicago, IL 60611-3758
Mailing Address1812 S Dearborn St Apt 30Chicago, IL 60616-1688 · (312) 498-1166
Sole ProprietorYes
Enumeration DateMarch 30, 2010
Last NPPES UpdateJanuary 11, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1922323260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in IL · 071007823
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
500 N MICHIGAN AVE STE 1520, Chicago, IL 60611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kristina M Pecora 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 September 2, 2025 through September 2, 2027.

Opt-Out Effective DateSeptember 2, 2025
Opt-Out In Effect ThroughSeptember 2, 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.

Psychologist (Clinical)
500 N MICHIGAN AVE STE 1520
CHICAGO, IL 60611

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 Kristina Pecora's NPI number?

The NPI number for Kristina Pecora is 1922323260. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Kristina Pecora located?

Kristina Pecora practices at 500 N Michigan Ave Ste 1520, Chicago, IL 60611. The listed phone number is (312) 498-1166.

What is Kristina Pecora's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Kristina Pecora enrolled in Medicare?

No. Kristina Pecora has opted out of Medicare through September 2, 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 Kristina Pecora was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.