Milestone Geriatric Day Care, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MILESTONE GERIATRIC DAY CARE, INC

Doing business as

Milestone Behavior Health Center

Practice address

2516 Oakland Blvd
Suite 3
Fort Worth, TX 76103-3201

Phone

(817) 429-2290

Fax

(814) 492-9098

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Audrey Lueel Irving

Title

Director

Phone

(817) 429-2290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milestone Behavior Health Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia A Cashman, LCSW

  • Clinical Social Worker
  • Bedford, TX
  • NPI 1225251911
  NPD (past)
• Lisa Diane Fairweather, D.O.

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1720031404
  NPD (past)
• Charles F Yackulic, MD

  • Psychiatry Physician
  • Denton, TX
  • NPI 1003909672
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1063447001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 OAKLAND BLVD",
            "address_2": "SUITE 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033203",
            "telephone_number": "817-429-2290",
            "fax_number": "814-492-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 OAKLAND BLVD",
            "address_2": "SUITE 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033201",
            "telephone_number": "817-429-2290",
            "fax_number": "814-492-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE GERIATRIC DAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "LUEEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-429-2290"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153822502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milestone Behavior Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andy Noel Miles, PT
• Cassi Miles
• Katie Miles
• Tenille Markay Miles
• Milestone Dental of Keller, PLLC (Milestone Dental)
• Milestone Geriatric Day Care, Inc (Milestone Behavior Health Center)
• Milestones DFW LLC (Milestones DFW)
• Milestones Home Health LLC
• Madison Elizabeth Milhoan
• Liana Marie Milis, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.