Millicent M Perkins

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MILLICENT M PERKINS

Practice address

5930 Lovers LN
Portage, MI 49002-1673

Phone

(269) 344-9490

Fax

(269) 344-8696

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Millicent M Perkins, PSYD

Title

Owner

Phone

(269) 344-9490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1013473768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 LOVERS LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021673",
            "telephone_number": "269-344-9490",
            "fax_number": "269-344-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 LOVERS LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021673",
            "telephone_number": "269-344-9490",
            "fax_number": "269-344-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLICENT M PERKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-344-9490",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Miller, MSW
• Kegan C Miller, LLMSW
• Misty Jo Miller, PA-C
• Nicholas Ryan Miller
• Scott T Miller, PT
• Tyquan Mills, BSW
• Lillian Millward
• Tina Minert, D.C.
• Magdalena J. Misiuk, D.D.S.
• Laura H Mitchell, O.D.

• Clinical Psychologist in Portage, MI
• Providers in Portage, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.