Nancy R. Milam, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5617 Issued in OH

Practice address

1250 W Dorothy LN Ste 208
Kettering, OH 45409-1313

Phone

(937) 298-9241

NPI assigned

Nov 21, 2006

Sex

Female

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 OH

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063587608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 RONA PARKWAY DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453245739",
            "telephone_number": "937-878-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W DOROTHY LN STE 208",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091313",
            "telephone_number": "937-298-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "NANCY",
        "middle_name": "R.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Behavioral Care
• Midwest Hyperbaric Physicians Inc
• Midwest Therapy Associates, Inc.
• Midwest Therapy Associates, Inc.
• Lawrence E Mieczkowski, M.D.
• Karen Faylynn Miliner
• Christopher Paul Miller, M.D.
• Deborah Miller, RDCS, RVT, RDMS
• John Mark Miller, D.O
• Justin Miller, FP-C

• Clinical Psychologist in Kettering, OH
• Providers in Kettering, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.