Individual provider Active NPI

Melissa Louise Marin-Hunter, ED.S.

  • School Psychologist
  • Frankfort, IL
National Provider Identifier
1639954894
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1854905 Issued in IL
Practice address
601 Willow St
Frankfort, IL 60423-1140
Phone
(815) 806-4600
NPI assigned
Aug 28, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1854905 IL Primary

Addresses

Primary practice location

601 Willow St
Frankfort, IL 60423-1140

Mailing address

19329 Westfield Ave
Tinley Park, IL 60487-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1854905ILMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Way Area Spec Ed 843 PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1639954894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19329 WESTFIELD AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604875560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILLOW ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231140",
            "telephone_number": "815-806-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN-HUNTER",
        "first_name": "MELISSA",
        "middle_name": "LOUISE",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1854905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.