Christina Mikell, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016944 Issued in MI

Practice address

675 W North Ave
Suite 306
Melrose Park, IL 60160-1634

Phone

(847) 440-2148

Fax

(773) 347-2656

NPI assigned

Sep 15, 2012

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

Other names 1

• Christina Aoun Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1578813663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 THORNCROFT CT",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731110",
            "telephone_number": "734-347-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE",
            "address_2": "SUITE 306",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601634",
            "telephone_number": "847-440-2148",
            "fax_number": "773-347-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "CHRISTINA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-15",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009129",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "AOUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Midwest Medical Clinic LTD
• Midwest Nephrology & Internal Medicine Associates, Corp.
• Midwest Open MRI
• Midwest Pharmacies Inc
• Midwest Physical Therapy Ctr
• Karina J Miranda, PA-C
• Trusha Samip Mistry, DR
• Elisabeth Janette Miwa, MSN, APRN, AGNP-C
• Rizwan K Moinuddin, DO
• Robert Molnar, DO

• Clinical Psychologist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.