Melissa Meinen, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010266 Issued in IL

Practice address

2502 N Clark St Ste 206
Chicago, IL 60614-1850

Phone

(773) 850-0294

NPI assigned

Sep 8, 2015

Last updated

Jun 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Psychological Wellness Center, PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1942875901
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1023486040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 S RACINE AVE APT 2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086410",
            "telephone_number": "763-732-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N CLARK ST STE 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141850",
            "telephone_number": "773-850-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINEN",
        "first_name": "MELISSA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010266",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20043306B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Werner Meier, M.D.
• Michael Arthur Meifert, O.D.
• Liza Meiksins, DPT
• Alina Regina Meile, PHARMD
• Zachary Meineke
• Elizabeth Meinert
• Kristin Anne Meinke, AU.D.
• Michael Meinzer, PHD
• Caroline Meis
• Ethan Michael Meisel, M.D.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.