Active NPI
Cristina Mejia-Millan, PH.D.
- Psychologist
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY6458
- Practice address
- 635 1St St N
Winter Haven, FL 33881-4129 - Phone
- (863) 294-0670
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY6458 | FL | Primary |
Addresses
Primary practice location
635 1St St N
Winter Haven, FL 33881-4129
Mailing address
635 1St St N
Winter Haven, FL 33881-4129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6750 N Andrews Ave
Suite 200
Ft Lauderdale, FL 33309-2180
Phone (888) 515-3834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6458 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Che Behavioral Health Services of Florida, P.a. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Gessler Clinic Professional Association | Current | Accepting new patients | |
| GPS II | Past | Accepting new patients | |
| John P McDonough III | Psychologist | Past | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477
101 Avenue D NW
Winter Haven, FL 33881
Phone (863) 294-3526
635 1st St N
Winter Haven, FL 33881
Phone (863) 294-0670
Networks
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Ft Lauderdale, FL
- NPI 1932721206
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1154399533
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Health Service Psychologist
- Longboat Key, FL
- NPI 1861740888
-
- Psychologist
- Tampa, FL
- NPI 1346280161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1194820795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814129",
"telephone_number": "863-294-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA-MILLAN",
"first_name": "CRISTINA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.