Melissa Ann Colon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009210 Issued in IL

Practice address

830 W Il Route 22 # 76
Lake Zurich, IL 60047-2560

Phone

(847) 302-4599

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brain Dynamics LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Elgin, IL
  • NPI 1194596122
  Medicare reassignment NPD Authorized official
• Seth a. Eappen, MD PLLC

  • Child & Adolescent Psychiatry Physician
  • Oak Brook, IL
  • NPI 1639610553
  Medicare reassignment NPD

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1528424512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W IL ROUTE 22 # 76",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472560",
            "telephone_number": "847-302-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W IL ROUTE 22 # 76",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472560",
            "telephone_number": "847-302-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Chrusciel
• Chrysalis Anaplastology & Ocularistry Inc
• Maria Churak, P.T.
• Clocktower Psychological Associates, LTD.
• Rick Coffaro, LPC
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #378)
• Costco Wholesale Corporation (Costco Hearing Aid #378)
• Dawn M Costello, LMT
• Crane Chiropractic LLC

• Clinical Psychologist in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.