MS. MELANIE M KALLAL (NPI# 1487990164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487990164 |
| Entity Type | Individual |
| Full Name | MS. MELANIE M KALLAL |
| Credential | LCPC, CADC |
| Practice Address |
1818 Dempster St Heartwood Center Evanston IL 60202-1003 |
| Mailing Address |
1818 Dempster Heartwood Center Evanston IL 60202-1003 |
| Practice Telephone | 2243309975 |
| Mailing Telephone | 2243309975 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180.009388 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1818 DEMPSTER ST HEARTWOOD CENTER |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528016342 | Rowena Arlene Chua | Psychiatry & Neurology | 1818 Dempster St, Evanston, IL 60202-1003 | 2006-05-04 |
| 1992319370 | Our Reality Pllc | Social Worker | 1818 Dempster St, Evanston, IL 60202-1003 | 2020-09-03 |
| 1578188553 | Arielle N Drescher | Social Worker | 1818 Dempster St, Evanston, IL 60202-1003 | 2020-06-15 |
| 1235752742 | Deborah Feingold-fisher | Social Worker | 1818 Dempster St, Evanston, IL 60202-1003 | 2020-05-19 |
| 1437782752 | Xin Tian | Acupuncturist | 1818 Dempster St, Evanston, IL 60202-1003 | 2020-02-14 |
| 1063076354 | Functional First | Nurse Practitioner | 1818 Dempster St, Evanston, IL 60202-1003 | 2019-04-23 |
| 1619434024 | Andrea Lee Obgyn Pllc | Obstetrics & Gynecology | 1818 Dempster St, Evanston, IL 60202-1003 | 2019-02-22 |
| 1780157438 | Integrated Physical Therapy and Yoga LLC | Clinic/Center | 1818 Dempster St, Evanston, IL 60202-1003 | 2019-01-05 |
| 1245706647 | Damian Zabielski | Acupuncturist | 1818 Dempster St, Evanston, IL 60202-1003 | 2018-10-23 |
| 1023516572 | Melanie Katin | Acupuncturist | 1818 Dempster St, Evanston, IL 60202-1003 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798404 | Erin Frasco | Counselor | 622 Davis St # 200, Evanston, IL 60201-4491 | 2020-10-23 |
| 1114538329 | Peggy Rubenstein | Counselor | 826 Judson Ave Apt 3, Evanston, IL 60202-2462 | 2020-08-11 |
| 1831708304 | Alison Toback, Lcpc | Counselor | 708 Church St Ste 221, Evanston, IL 60201-3840 | 2020-07-30 |
| 1306466644 | Hedy Helfand | Counselor | 211 Dewey Ave, Evanston, IL 60202-3713 | 2020-04-16 |
| 1912532672 | Lora Slutsky | Counselor | 2020 Dempster St, Evanston, IL 60202-1017 | 2020-03-03 |
| 1740813021 | Shairee Lackey | Counselor | 1206 Pitner Ave, Evanston, IL 60202-1049 | 2020-02-15 |
| 1013568989 | Peter Agostino | Counselor | 1327 Ashland Ave Apt 1, Evanston, IL 60201-6805 | 2019-09-23 |
| 1891357356 | Amy Owen Counseling LLC | Counselor | 708 Church St Ste 219, Evanston, IL 60201-3881 | 2019-07-05 |
| 1265906028 | Monica Isaac | Counselor | 708 Church St Ste 217, Evanston, IL 60201-3881 | 2019-01-15 |
| 1801366364 | Kaitlyn Whitebread | Counselor | 726 Hinman Ave Apt 2e, Evanston, IL 60202-2570 | 2018-11-27 |
| Find all providers in EVANSTON | ||||
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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.