Melissa Amison

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MELISSA AMISON

Practice address

3504 Grand Blvd
Brookfield, IL 60513-1302

Phone

(708) 255-5053

Fax

(708) 255-5120

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Amison, M.S. ED, MAEA, LCSWNPI 1326482878

Title

Ower

Phone

(708) 255-5053

Specialties & licenses 1

Addresses

Other names 1

• Melissa Amison, LCSW Doing business as

Practitioners 1

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

• Melissa Amison, M.S.ED., MAEA, LCSW

  • Clinical Social Worker
  • Brookfield, IL
  • NPI 1326482878
  NPD (past) Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1942992425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 GRAND BLVD",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131302",
            "telephone_number": "708-255-5053",
            "fax_number": "708-255-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 GRAND BLVD",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131302",
            "telephone_number": "708-255-5053",
            "fax_number": "708-255-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA AMISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "AMISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "708-255-5053",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. ED, MAEA, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Amison, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Filip Maksimovic
• Wasil Malichin, DMD
• MB Perinatal Psychotherapy PLLC
• Megan McLaughlin
• Aubray Marie Mekelburg
• Aida Mendez, LPTA
• Romy A Modi, NP
• Kristen Monacella
• National Therapeutic Systems, Inc.
• Jessica Nikkila, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brookfield, IL
• Providers in Brookfield, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.