Melinda Luanne Bloos, PH.D.
Individual provider Active NPI Clinical Psychologist · Murphysboro, IL
NPI 1437247012 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1437247012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071004937 (IL)
- Practice address
- 1400 N Wood Rd
Murphysboro, IL 62966-6290 - Phone
- (618) 457-6443
- Fax
- (618) 351-1419
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 N Wood Rd
Murphysboro, IL 62966-6290
Phone 6184576443302
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040218000514 | IL | Practitioner - Clinical Psychologist | 2264327212 | Practice locations: Murphysboro, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Healing Arts, LLC | Past | Accepting new patients | |
| Burke Behavioral Health, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071004937 | IL | Yes |
Addresses
Primary practice location
1400 N Wood Rd
Murphysboro, IL 62966-6290
Mailing address
1400 N Wood Rd
Murphysboro, IL 62966-6290
Phone (618) 457-6443
Other providers in Murphysboro, IL
- Julia Bates
- Evan Tep Belfer
- Frederick Gower Bierer
- Donna L Blache
- Dale W Blaise
- Richard Earl Boren
- Andrea Deneen Brewer
- Zeppelyn Dawn Brewer
- Kimberly Renee McCutchen Brooks
- Russell W Brown II
All providers in Murphysboro, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.