Chicago Psychological Wellness Center, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CHICAGO PSYCHOLOGICAL WELLNESS CENTER, PLLC

Practice address

1957 N Fairfield Ave Apt 3L
Chicago, IL 60647-2359

Phone

(763) 732-9681

NPI assigned

May 23, 2021

Last updated

May 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Meinen, PSY.D.NPI 1023486040

Title

Clinical Psychologist/Manager

Phone

(708) 540-3276

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, and the practitioner matching its NPPES authorized official.

• Melissa Meinen, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1023486040
  NPD Authorized official

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

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621728000000",
    "number": "1942875901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 N FAIRFIELD AVE APT 3L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472359",
            "telephone_number": "763-732-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 N FAIRFIELD AVE APT 3L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472359",
            "telephone_number": "763-732-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PSYCHOLOGICAL WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "MEINEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "708-540-3276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Psychiatric Partners LLC
• Chicago Psychiatric PLLC (North Side Psychiatry)
• Chicago Psychoanalytic Institute
• Chicago Psychological Health and Wellness (CPHW)
• Chicago Psychological Health Center, LLC
• Chicago Psychology Services , LLC
• Chicago Psychotherapy and Consulting, LLC
• Chicago Psychotherapy, PLLC
• Chicago Radiation Oncology, S.C.
• Chicago Reach Foundation

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.