Active NPI
Melissa Perrin, PSYD
- Clinical Psychologist
- Evanston, IL
National Provider Identifier
1982181533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005543
- Practice address
- 2530 Crawford Ave Ste 203
Evanston, IL 60201-4959 - Phone
- (847) 864-8874
- NPI assigned
- Jul 26, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-005543 | IL | Primary |
Addresses
Primary practice location
2530 Crawford Ave Ste 203
Evanston, IL 60201-4959
Mailing address
2530 Crawford Ave Ste 203
Evanston, IL 60201-4959
Phone (847) 864-8874
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 |
|---|---|---|---|
| 071-005543 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1982181533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 CRAWFORD AVE STE 203",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014959",
"telephone_number": "847-864-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CRAWFORD AVE STE 203",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014959",
"telephone_number": "847-864-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIN",
"first_name": "MELISSA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-26",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.