Abegail Millard, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

189214 Issued in AK

Practice address

860 S Roberts St Ste 200
Wasilla, AK 99654-0014

Phone

(907) 313-7965

Fax

(907) 531-3886

NPI assigned

Apr 24, 2017

Last updated

Nov 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mat-Su Mental Health LLC

  • Mental Health Counselor
  • Wasilla, AK
  • NPI 1245811819
  NPD
• Pacific University

  • Adult Mental Health Clinic/Center
  • Hillsboro, OR
  • NPI 1700256989
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1114452596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870606",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S ROBERTS ST STE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996540014",
            "telephone_number": "907-313-7965",
            "fax_number": "907-531-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "ABEGAIL",
        "name_prefix": "Mrs.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "189214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Milby Sr., GENERAL CONTRACTOR
• Mary Elizabeth Mildenberger, DNP
• Alexandria Sara Miles
• Dalayon Miles
• Jonathon Millar, PTA
• Diana Miller
• Gregg Mathew Miller, LMT AT
• Heather Miller
• Ian Scott Miller
• Jacob Miller

• Clinical Psychologist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Clinical Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.