Active NPI
Melinda D Hammond, PSY.D.
- Clinical Psychologist
- Plainfield, IL
National Provider Identifier
1659645711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009256
- Practice address
- 13246 S Route 59 # 102a
Plainfield, IL 60585-9800 - Phone
- (630) 296-7639
- NPI assigned
- Mar 6, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180008074 | IL | |
| Clinical Psychologist | 103TC0700X | 071.009256 | IL | Primary |
Addresses
Primary practice location
13246 S Route 59 # 102a
Plainfield, IL 60585-9800
Mailing address
13246 S Route 59 # 102a
Plainfield, IL 60585-9800
Phone (630) 296-7639
Other practice location 1
15127 S 73rd Ave
G
Orland Park, IL 60462-4398
Phone (708) 845-5500
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160616000890 | IL | Practitioner - Clinical Psychologist | 7012208309 | Practice locations: Plainfield, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180008074 | IL | MD | Professional Counselor |
| 071.009256 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1659645711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13246 S ROUTE 59 # 102A",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859800",
"telephone_number": "630-296-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13246 S ROUTE 59 # 102A",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605859800",
"telephone_number": "630-296-7639"
}
],
"practiceLocations": [
{
"address_1": "15127 S 73rd Ave",
"address_2": "G",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604624398",
"country_code": "US",
"telephone_number": "708-845-5500",
"fax_number": "708-845-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMOND",
"first_name": "MELINDA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008074",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.