Hall Melchi LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HALL MELCHI LLC

Practice address

300 S Broadway Ave Ste 110a
Urbana, IL 61801-3449

Phone

(217) 417-0864

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Melchi, CADC

Title

Owner

Phone

(217) 954-1128

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia A Ray, LCSW

  • Clinical Social Worker
  • Urbana, IL
  • NPI 1467523118
  NPD (past)

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1033933106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY AVE STE 110A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013449",
            "telephone_number": "217-417-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY AVE STE 110A",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013449",
            "telephone_number": "217-417-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL MELCHI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MELCHI",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-954-1128",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hafez Daryush Haerian, MD
• Ali Haider
• Baqer A Haider, M.D.
• Linda Haile, NP
• Lindsay Haitz, MA, LPC
• Amy M Hall, APN
• Emma Hall, DO
• Michele Renee Hall, MS CCC-SLP
• Angie Hallam, CCC-SLP
• Marybeth Hallett, PH.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Urbana, IL
• Providers in Urbana, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.