Active NPI
M.J. Meldman MD & Associates S.C.
- Psychiatry Physician
- Deerfield, IL
National Provider Identifier
1154699387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036-033992
- Legal business name
- M.J. MELDMAN MD & ASSOCIATES S.C.
- Practice address
- 420 Lake Cood Rd
#121
Deerfield, IL 60015 - Phone
- (847) 236-9999
- NPI assigned
- Dec 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monte Jay Meldman, M.D.
- Title
- President
- Phone
- (847) 236-9999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-033992 | IL | Primary |
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
420 Lake Cood Rd
#121
Deerfield, IL 60015
Mailing address
3833 Mission Hills Rd
Northbrook, IL 60062-5711
Phone (847) 291-0951
Other names 1
- Dr. Happiness
National Provider Directory
National Provider DirectoryLocations
420 Lake Cook Rd
Ste 121
Deerfield, IL 60015
Phone (847) 236-9999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322784000000",
"number": "1154699387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 MISSION HILLS RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600625711",
"telephone_number": "847-291-0951",
"fax_number": "847-984-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LAKE COOD RD",
"address_2": "#121",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "60015",
"telephone_number": "847-236-9999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M.J. MELDMAN MD & ASSOCIATES S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A",
"authorized_official_last_name": "MELDMAN",
"authorized_official_first_name": "MONTE",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-236-9999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-033992",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Happiness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deerfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.