Mel Kimmel PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.008204 Issued in IL

Legal business name

MEL KIMMEL PHD PC

Practice address

333 N Michigan Ave
Suite 711
Chicago, IL 60601-3901

Phone

(312) 344-1082

Fax

(312) 674-7195

NPI assigned

Aug 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Melvin Joel Kimmel, PHDNPI 1942223490

Title

Clinical Psychologist

Phone

(312) 344-1082

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Joel Kimmel, PH.D.

  • Psychologist
  • Nashua, NH
  • NPI 1942223490
  NPD (past) Authorized official

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1669729794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 W WINONA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402707",
            "telephone_number": "312-344-1082",
            "fax_number": "312-674-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "SUITE 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "312-344-1082",
            "fax_number": "312-674-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL KIMMEL PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-344-1082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo Elyse Mekjian
• Meredith Kaye Meklir, MA
• Bruk Mekonen, MD
• Endale T Mekonen, M.D.
• Adela Mekshi, PHARMD
• Mel Rose Sweet Home Care Agency LLC
• Melamed Counseling
• Lauren Melamed, NCC, LCPC
• Melanie Lerchen, Psychotherapist, LCPC, PLLC
• Melanie S. Levine, PH.D., PLLC

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, 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 8, 2012; 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.