Thomas Lee Millard, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

1523 S Bluff Blvd
Clinton, IA 52732-6549

Phone

(563) 243-6054

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Wellness Center LLCGroup PAC ID 1052380813, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Wellness Center LLC

  • Mental Health Counselor
  • Clinton, IA
  • NPI 1730292996
  Medicare reassignment Care Compare group NPD Authorized official
• Excelsior Ranch

  • Mental Health Occupational Therapist
  • Princeton, IA
  • NPI 1306638119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003929274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326549",
            "telephone_number": "563-243-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23379",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Meyer
• Joshua Meyer
• Michael Mankarious MD PC
• Midwest Vision Clinic PLC
• Lynette Spencer Mikesh
• Miller-Meier Limb and Brace, Inc.
• Isabel Cecilia Miller, DDS
• Rose M Miller
• Michael Cody Mills, M.S.W.
• Mis Eagle Point LLC

• Clinical Psychologist in Clinton, IA
• Providers in Clinton, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.