Active NPI
Donna R Milburn, PH.D
- Clinical Psychologist
- Plano, TX
National Provider Identifier
1053464784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- #2-4936
- Practice address
- 2000 N Central Expy
Suite 110
Plano, TX 75074-8801 - Phone
- (972) 509-2611
- Fax
- (972) 578-5742
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | #2-4936 | TX | Primary |
Addresses
Primary practice location
2000 N Central Expy
Suite 110
Plano, TX 75074-8801
Mailing address
2000 N Central Expy
Suite 110
Plano, TX 75074-8801
Phone (972) 509-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #2-4936 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1053464784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N CENTRAL EXPY",
"address_2": "SUITE 110",
"city": "PLANO",
"state": "TX",
"postal_code": "750748801",
"telephone_number": "972-509-2611",
"fax_number": "972-578-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N CENTRAL EXPY",
"address_2": "SUITE 110",
"city": "PLANO",
"state": "TX",
"postal_code": "750748801",
"telephone_number": "972-509-2611",
"fax_number": "972-578-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBURN",
"first_name": "DONNA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "#2-4936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.