Active NPI
Toni L. McMillan, PH.D.
- School Psychologist
- Manassas, VA
National Provider Identifier
1194856484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0910001739
- Practice address
- 6202 Ramblewood TRL
Manassas, VA 20112-3023 - Phone
- (703) 368-4984
- Fax
- (703) 368-9855
- NPI assigned
- Mar 8, 2007
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 0810001739 | VA | |
| Adult Development & Aging Psychologist | 103TA0700X | 0910001739 | VA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 0910001739 | VA | |
| Clinical Psychologist | 103TC0700X | 0910001739 | VA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0910001739 | VA | |
| Family Psychologist | 103TF0000X | 0910001739 | VA | |
| Forensic Psychologist | 103TF0200X | 0910001739 | VA | |
| Psychologist | 103T00000X | 0910001739 | VA | |
| Group Psychotherapy Psychologist | 103TP2701X | 0910001739 | VA | |
| School Psychologist | 103TS0200X | 0910001739 | VA | Primary |
Addresses
Primary practice location
6202 Ramblewood TRL
Manassas, VA 20112-3023
Mailing address
12872 Harbor Dr
Woodbridge, VA 22192-2921
Phone (703) 497-0901
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001739 | VA | MD | Addiction (Substance Use Disorder) Psychologist |
| 0910001739 | VA | MD | Adult Development & Aging Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1194856484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12872 HARBOR DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922921",
"telephone_number": "703-497-0901",
"fax_number": "703-490-5133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6202 RAMBLEWOOD TRL",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201123023",
"telephone_number": "703-368-4984",
"fax_number": "703-368-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLAN",
"first_name": "TONI",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0810001739",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "VA",
"license": "0910001739",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0910001739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.