Meli Development Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012708 Issued in IL

Legal business name

MELI DEVELOPMENT CENTER

Practice address

542 E Boughton Rd
Bolingbrook, IL 60440-2181

Phone

(630) 783-1850

NPI assigned

Jan 20, 2007

Organization subpart

No

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

Authorized official

Name

Melisa Alaba-Yusouf, MA

Title

Director

Phone

(630) 783-1850

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke E Stout

  • Clinical Social Worker
  • Bolingbrook, IL
  • NPI 1942411186
  NPD (past)

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1063565190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402181",
            "telephone_number": "630-783-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402181",
            "telephone_number": "630-783-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELI DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ALABA-YUSOUF",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-783-1850",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006045",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012708",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932455",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjay Mehta, DDS
• Meijer
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #169)
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #215)
• Jessica Melendez, MS, LAT, ATC
• Christina Tingson Mercado
• Ryan Mettler, DPT
• Mga Home Health Care, Inc.
• Judith Micek, MOT/L,CHT
• Midwest Express Care 2, Inc

• Clinical Social Worker in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.