Melinda Miller, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-29990 Issued in IL

Practice address

1999 Indiana Ave
Lansing, IL 60438-2101

Phone

(708) 227-0793

Fax

(708) 808-6653

NPI assigned

Oct 20, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Momentum Behavior Services LLC

  • Behavior Analyst
  • Lansing, IL
  • NPI 1780222901
  NPD Authorized official
• Westside Childrens Therapy

  • Physical Therapist
  • Joliet, IL
  • NPI 1972783900
  NPD (past)

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1114438884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 INDIANA AVE",
            "address_2": "NULL",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604389386",
            "telephone_number": "708-227-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 INDIANA AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382101",
            "telephone_number": "708-227-0793",
            "fax_number": "708-808-6653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15255 S 94th Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623895",
            "country_code": "US",
            "telephone_number": "815-770-5654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21000 S Frankfort Square Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604239386",
            "country_code": "US",
            "telephone_number": "815-469-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELINDA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-18-29990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinda@momentumbehaviorservices.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1999 Indiana Ave",
            "city": "Lansing",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604382101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin McLemore
• Marcia Meggs, MD
• Jocelin Nicole Mendez
• Jennifer Meyer, MA
• Cynthia Lynette Michel
• Brittany Mitacek, ATC
• Molenaar Eyecare Specialists LTD
• Brant Tregellas Molenaar, OD
• Gordon Wesley Molenaar, OD
• Matthew Molenaar, LCSW

• Behavior Analyst in Lansing, IL
• Providers in Lansing, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.