Melissa M Chappell, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036108066 Issued in IL

Practice address

2850 W. 95TH St
Suite 204
Evergreen Park, IL 60805

Phone

(708) 422-5090

Fax

(708) 229-6079

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 7, 2021 through Jul 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meridian Psychiatric Partners, LLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1982873766
  NPD (past)
• Midwest Neuropsychiatric Assoc LTD

  • Specialist
  • Chicago, IL
  • NPI 1003949793
  NPD (past)
• Southwest Medical and Psychiatric Services

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1619912995

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1881647576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W. 95TH ST",
            "address_2": "SUITE 204",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-422-5090",
            "fax_number": "708-229-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W. 95TH ST",
            "address_2": "SUITE 204",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-422-5090",
            "fax_number": "708-229-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036108066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie J Cermak, PA-C
• Matthew William Cesario
• CGT Medical, PLLC
• Carmen Chan
• Julie Chang, MMS, PA-C
• George Charuk, DO
• Ahmad Chatila, MD
• Christopher Chelini, DC
• Kevin Matthew Chentorycki, PHARMD
• Sarah Chewning, APN-CNP

• Psychiatry Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.