Individual provider Active NPI

Donald James McMillan, PSYD

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1205978749
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012244 Issued in MI
Practice address
30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Phone
(248) 229-2631
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301012244 MI Primary

Addresses

Primary practice location

30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144

Mailing address

30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Phone (248) 229-2631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20091023000657 MI Practitioner - Clinical Psychologist 1052458080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30665 Northwestern Hwy
Suite 255
Farmington Hills, MI 48334-3144
Phone (248) 229-2631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301012244MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Cycle Counseling, LLC Clinical CurrentSince Sep 8, 2009 Accepting new patients

Locations

22029 Farmington Rd
Farmington Hills, MI 48336
Phone (248) 426-0079

30665 Northwestern Hwy
Ste 255
Farmington Hills, MI 48334
Phone (248) 225-1871

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1205978749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30665 NORTHWESTERN HWY STE 255",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343144",
            "telephone_number": "248-229-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30665 NORTHWESTERN HWY STE 255",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343144",
            "telephone_number": "248-229-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.