DR. NICOLE MARIE GARCIA (PSYD) – Clinical Neuropsychologist, NPI 1194552752

DR. NICOLE MARIE GARCIA (PSYD) is a healthcare provider. based in Mchenry, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 071.011296 (IL). The NPI Number for DR. NICOLE MARIE GARCIA (PSYD) is 1194552752

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE MARIE GARCIA (PSYD)
NPI
1194552752
Phone
(815) 344-1999
Address
659 Ridgeview Drive
Enumeration Date
17 September 2024
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478027070
Graduation Year
2023 (3 years ago)
PAC ID
9537683826
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20250408002477
Address ID
IL600148003CR360XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for DR. NICOLE MARIE GARCIA (PSYD)

  • 659 Ridgeview Drive

    McHenry, IL 600507012

    Phone: (815) 344-1999

    Fax: (815) 516-5171

    Type: Location

  • 360 STATION DR STE 300

    CRYSTAL LAKE, IL 600148003

    Phone: (815) 455-1800

    Fax: (815) 455-1875

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250408002477IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60050)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

Can I cross-check DR. NICOLE MARIE GARCIA (PSYD) using NPI 1194552752?
NPI 1194552752 belongs to DR. NICOLE MARIE GARCIA (PSYD); compare other details if you need extra assurance.
Would DR. NICOLE MARIE GARCIA (PSYD) appear as active to a payer?
You can treat DR. NICOLE MARIE GARCIA (PSYD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. NICOLE MARIE GARCIA (PSYD)?
DR. NICOLE MARIE GARCIA (PSYD) is associated with Clinical Neuropsychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. NICOLE MARIE GARCIA (PSYD) associated with Mchenry?
Public fields place DR. NICOLE MARIE GARCIA (PSYD) around Mchenry, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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