Melissa Ruth Blount, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007335 Issued in IL

Practice address

1604 Chicago Ave
Ste.10
Evanston, IL 60201-6017

Phone

(773) 633-0116

NPI assigned

Oct 12, 2007

Last updated

Jan 27, 2015By the provider in NPPES

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

• Dr. Melissa Ruth Stevenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Blount Psychology Incorporated

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1891920757
  NPD (past) Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1730377961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 EMERSON ST",
            "address_2": "APT 2E",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013836",
            "telephone_number": "773-633-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 CHICAGO AVE",
            "address_2": "STE.10",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016017",
            "telephone_number": "773-633-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "MELISSA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-12",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007335",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "STEVENSON",
            "middle_name": "RUTH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bloom in Grace Counseling, LLC
• William David Bloomer, M.D.
• Jeremy W Bloomfield, PSY.D.
• Margaret A. Bloomquist, M.S.W., L.C.S.W
• Blount Psychology Incorporated
• Blue Bolt Pediatric Care
• Blue Lotus Neuropsychology, PLLC
• Franziska Elisabeth Blum, M.D.
• Edward A Blumen, M.D.
• Rebecca Nathan Blumenthal, M.D.

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.