EUGENE P MELE PSY.D.
NPI 1437197381
Clinical Neuropsychologist in Chicago, IL

NPI Status: Active since June 03, 2006

Contact Information

410 S MICHIGAN AVE
#707
CHICAGO, IL
ZIP 60605
Phone: (312) 203-8549
Fax: (773) 728-7760

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  • Individual
  • Male
  • Years of Experience 34
  • Clinical Neuropsychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About EUGENE MELE

This page provides the complete NPI Profile along with additional information for Eugene Mele, a provider established in Chicago, Illinois with a medical specialization in Clinical Neuropsychologist and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1437197381 assigned on June 2006. The practitioner's primary taxonomy code is 103G00000X. The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1437197381
Provider Name
EUGENE P MELE PSY.D.
Gender
Male
Entity Type
Individual
Location Address
410 S MICHIGAN AVE #707 CHICAGO, IL 60605
Location Phone
(312) 203-8549
Location Fax
(773) 728-7760
Mailing Address
410 S MICHIGAN AVE STE 70 SUITE 406 CHICAGO, IL 60605
Mailing Phone
(312) 203-8549
Mailing Fax
(773) 728-7760
Medical School Name
OTHER
Graduation Year
1993
Is Sole Proprietor?
Yes
Enumeration Date
06-03-2006
Last Update Date
03-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1634589OTHER (01)ILBLUE CROSS BLUE SHIELD
209544MEDICARE PIN (08)IL 

Medicare Participation & PECOS Enrollment Status

Eugene Mele is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Eugene Mele is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3971570912

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040913000260

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of psychological or neuropsychological test, each additional 30 minutes

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

This service was performed 188 times for 32 patients

Administration of psychological or neuropsychological test, first 30 minutes

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

This service was performed 32 times for 32 patients

Evaluation of neuropsychological test, each additional hour

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

This service was performed 124 times for 31 patients

Evaluation of neuropsychological test, first hour

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

This service was performed 31 times for 31 patients

Psychiatric diagnostic evaluation

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

This service was performed 32 times for 32 patients

Reviews for EUGENE P MELE PSY.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437197381, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 2 + 9 + 1 + 4 + 3 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1437197381.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Counselor (Professional)
410 S MICHIGAN AVE, STE 609
CHICAGO, IL 60605
Psychologist (Clinical)
410 S MICHIGAN AVE, SUITE 540
CHICAGO, IL 60605
Dietitian, Registered
410 S MICHIGAN AVE, STE 631
CHICAGO, IL 60605
Psychologist
410 S MICHIGAN AVE, SUITE 707
CHICAGO, IL 60605
Counselor (Professional)
410 S MICHIGAN AVE, SUITE 525, STUDIO 524
CHICAGO, IL 60605
Clinical Neuropsychologist
410 S MICHIGAN AVE, #707
CHICAGO, IL 60605
Counselor (Mental Health)
410 S MICHIGAN AVE, SUITE 928
CHICAGO, IL 60605
Social Worker (Clinical)
410 S MICHIGAN AVE, STE 943
CHICAGO, IL 60605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437197381, enumerated as an "individual" on June 03, 2006.

The provider is located at 410 S MICHIGAN AVE #707 CHICAGO, IL 60605 and the phone number is (312) 203-8549.

Clinical Neuropsychologist with taxonomy code 103G00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.