Healthcare Provider Details

I. General information

NPI: 1679362735
Provider Name (Legal Business Name): MELISSA SCHILL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 S FRONTAGE RD STE 150
HASTINGS MN
55033-2690
US

IV. Provider business mailing address

2540 HACKBERRY DR
HASTINGS MN
55033-3800
US

V. Phone/Fax

Practice location:
  • Phone: 651-505-3273
  • Fax:
Mailing address:
  • Phone: 651-343-7939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberLP7350
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: