MELISSA-ANN MACKIE (NPI# 1306498142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306498142 |
Entity Type | Individual |
Full Name | MELISSA-ANN MACKIE |
Credential | PHD |
Practice Address |
446 E Ontario St Ste 7-100 Stone Insitute Chicago IL 60611-4418 |
Mailing Address |
446 E Ontario Street Suite 7-100 Stone Institute Chicago IL 60611-4365 |
Practice Telephone | 3126955060 |
Practice Fax Number | 3126955010 |
Mailing Telephone | 3126955060 |
Mailing Fax Number | 3126955010 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PENDING | IL | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
3671-57 | WI | Behavioral Health & Social Service Providers |
Street Address |
446 E ONTARIO ST STE 7-100 STONE INSITUTE |
City | CHICAGO |
State | IL |
Zip Code | 60611-4418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063645315 | Evan Hayward Goulding | Psychiatry & Neurology | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2009-09-02 |
1730679838 | Julia Novitski | Psychologist | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2018-05-14 |
1053846147 | Erica Sieg | Psychologist | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2017-04-26 |
1245610500 | Lauren Robinson | Psychiatry & Neurology | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2015-06-02 |
1275949489 | Daniela Rakocevic | Psychiatry & Neurology | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2014-07-08 |
1760806012 | Christina Boisseau | Psychologist | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2014-02-06 |
1265870349 | Andrew David Carlo | Psychiatry & Neurology | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2013-06-11 |
1699000125 | Tracy Fehrenbach | Psychologist | 446 E Ontario St Ste 7-100, Chicago, IL 60611-4418 | 2009-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
Find all providers in zip 60611 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649830159 | Natalie Berger | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 203, Chicago, IL 60612-3227 | 2019-06-17 |
1225575871 | Israel Gross | Clinical Neuropsychologist | 1934 W. Roscoe St., #4, Chicago, IL 60657 | 2017-01-20 |
1144680703 | Brenda Henderson | Clinical Neuropsychologist | 7958 S Michigan Ave, Chicago, IL 60619-3509 | 2016-02-25 |
1386002871 | Karen Rottier | Clinical Neuropsychologist | 1539 W Oakdale Ave, Chicago, IL 60657-4010 | 2016-01-29 |
1952784589 | Jana Wingo | Clinical Neuropsychologist | 320 E Superior St, Chicago, IL 60611-3010 | 2015-07-01 |
1275947236 | Mattthew Paul Richmond | Clinical Neuropsychologist | 33 N Dearborn St Ste 1600, C/o Dr. Matthew Richmond, Chicago, IL 60602-3102 | 2014-06-18 |
1437578044 | Jason Ryan Soble | Clinical Neuropsychologist | 912 S Wood St # Mc913, Chicago, IL 60612-4300 | 2014-04-10 |
1245671841 | David A Meyerson | Clinical Neuropsychologist | 2500 W Bradley Pl, Suite 100, Chicago, IL 60618-4702 | 2013-07-11 |
1700136850 | Melissa Shoemaker | Clinical Neuropsychologist | 2835 N Sheffield Ave Ste 202, Chicago, IL 60657-5083 | 2012-09-17 |
1518214451 | Christopher Conley Stewart | Clinical Neuropsychologist | 1645 W Jackson Blvd Ste 400, Chicago, IL 60612-3244 | 2012-08-09 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.