Active NPI
Melissa Davis, S.S.P.
- School Psychologist
- Hinsdale, IL
National Provider Identifier
1811251630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2299653
- Practice address
- 120 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3542 - Phone
- (630) 325-5300
- NPI assigned
- Jun 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2299653 | IL | Primary |
Addresses
Primary practice location
120 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3542
Mailing address
534 Sandhurst LN
South Elgin, IL 60177-2916
Phone (630) 797-0226
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2299653 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1811251630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 SANDHURST LN",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601772916",
"telephone_number": "630-797-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E OGDEN AVE",
"address_2": "SUITE 220",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213542",
"telephone_number": "630-325-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MELISSA",
"credential": "S.S.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2299653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.