Active NPI
Melanie Pomaville
- Behavior Analyst
- Chicago, IL
National Provider Identifier
1750737151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22735
- Practice address
- 6202 W Montrose Ave
Chicago, IL 60634-1556 - Phone
- (517) 599-7422
- NPI assigned
- May 4, 2016
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-16-22735 | Primary |
Addresses
Primary practice location
6202 W Montrose Ave
Chicago, IL 60634-1556
Mailing address
5875 Peachtree Dr
Grand Ledge, MI 48837-8908
Phone (517) 599-7422
Other practice location 1
950 Lee St Ste 210
Des Plaines, IL 60016-6574
Phone (877) 486-4140
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577491200000",
"number": "1750737151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 PEACHTREE DR",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488378908",
"telephone_number": "517-599-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341556",
"telephone_number": "517-599-7422"
}
],
"practiceLocations": [
{
"address_1": "950 Lee St Ste 210",
"address_purpose": "LOCATION",
"city": "Des Plaines",
"state": "IL",
"postal_code": "600166574",
"country_code": "US",
"telephone_number": "877-486-4140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POMAVILLE",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2019-12-28",
"certification_date": "2019-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-16-22735",
"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 Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.