Melon-Grace Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

060007829 Issued in IL

Legal business name

MELON-GRACE PSYCHOLOGICAL SERVICES

Practice address

15 Salt Creek LN Ste 401
Hinsdale, IL 60521-3072

Phone

(630) 920-9113

NPI assigned

Feb 28, 2007

Last updated

Oct 18, 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

Dr. William Melon, PH.D.NPI 1265569883

Title

President

Phone

(630) 920-9113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• William Melon, PH.D.

  • Clinical Psychologist
  • Hinsdale, IL
  • NPI 1265569883
  Medicare reassignment Authorized official
• Pamela Grace, PHD

  • Psychologist
  • Romeoville, IL
  • NPI 1063451680
  NPD
• Randy Lane Thompson, M.D.

  • Psychiatry Physician
  • Hinsdale, IL
  • NPI 1497887053
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1053448662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN STE 401",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213072",
            "telephone_number": "630-920-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN STE 401",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213072",
            "telephone_number": "630-920-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELON-GRACE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "MELON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-920-9113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "060007829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meenakshi C Medler, PA-C
• Celeste L Medynskyj, D.D.S.
• Shakilbanu Meerapatel, MD
• Jessica Meier, MS, CCC-SLP/L
• Carly Marie Melody
• William Melon, PH.D.
• Zylfi Memedovski, DO
• Mohammed Memon
• Jaqueline Mendoza Perez
• Ceara Donel Mendoza, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.