Active NPI
Melissa Ann Crescenzo, PH.D.
- Clinical Psychologist
- Glen Ellyn, IL
National Provider Identifier
1750797544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.008782
- Practice address
- 800 Roosevelt Rd
Building E, Suite 414
Glen Ellyn, IL 60137-5839 - Phone
- (309) 838-4097
- NPI assigned
- Jul 1, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.008782 | IL | Primary |
Addresses
Primary practice location
800 Roosevelt Rd
Building E, Suite 414
Glen Ellyn, IL 60137-5839
Mailing address
800 Roosevelt Rd
Building E, Suite 414
Glen Ellyn, IL 60137-5839
Phone (309) 838-4097
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008782 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1750797544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD",
"address_2": "BUILDING E, SUITE 414",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375839",
"telephone_number": "309-838-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD",
"address_2": "BUILDING E, SUITE 414",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375839",
"telephone_number": "309-838-4097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESCENZO",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
- County of Dupage Department of Health (DuPage County Health Department - Glen Ellyn Woods Group Home (GEWGH))
- Jason Cox, L.AC
- Matthew David Cox, M.D.
- William Coyer, MD
- Craigs Family Pharmacy Inc
- Margaret Cresto
- Mary Elizabeth Crois, PSY.D.
- Allen M Cuevas, PT
- Cultura Healing Therapy, PLLC
- Shaulee Kaye Curtis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.