Active NPI
Melanie Santos, PSY.D.
- Psychologist
- Chicago, IL
National Provider Identifier
1649294901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 656 W Randolph St
#4W
Chicago, IL 60661-2132 - Phone
- (847) 559-0001
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
656 W Randolph St
#4W
Chicago, IL 60661-2132
Mailing address
218 N Jefferson St
Suite 400
Chicago, IL 60661-1121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 6, 2021 through Dec 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438214400000",
"number": "1649294901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 N JEFFERSON ST",
"address_2": "SUITE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606611121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 W RANDOLPH ST",
"address_2": "#4W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606612132",
"telephone_number": "847-559-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MELANIE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2015-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.