Blount Psychology Incorporated

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007335 Issued in IL

Legal business name

BLOUNT PSYCHOLOGY INCORPORATED

Practice address

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

Phone

(773) 633-0116

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Ruth Blount, PH.D.NPI 1730377961

Title

Director/Clinical Psychologist

Phone

(773) 633-0116

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ruth Blount, PH.D.

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1730377961
  NPD (past) Authorized official

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1891920757",
    "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": {
        "organization_name": "BLOUNT PSYCHOLOGY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "773-633-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell S Blivaiss, MD
• 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
• Melissa Ruth Blount, PH.D.
• Blue Bolt Pediatric Care
• Blue Lotus Neuropsychology, PLLC
• Franziska Elisabeth Blum, M.D.
• Edward A Blumen, 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 Oct 13, 2014; 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.