Active NPI
Amy Michele Milam, EDD, NCSP
- School Psychologist
- Brandon, FL
National Provider Identifier
1073959540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS0000707
- Practice address
- 2130 W Brandon Blvd
Suite 205
Brandon, FL 33511-4730 - Phone
- (813) 453-5760
- NPI assigned
- May 10, 2013
- Last updated
- May 10, 2013
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS0000707 | FL | Primary |
Addresses
Primary practice location
2130 W Brandon Blvd
Suite 205
Brandon, FL 33511-4730
Mailing address
2130 W Brandon Blvd
Suite 205
Brandon, FL 33511-4730
Phone (813) 453-5760
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS0000707 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1073959540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 W BRANDON BLVD",
"address_2": "SUITE 205",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114730",
"telephone_number": "813-453-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 W BRANDON BLVD",
"address_2": "SUITE 205",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114730",
"telephone_number": "813-453-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILAM",
"first_name": "AMY",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "EDD, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS0000707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.