Jacquelyn D Millham, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20029 Issued in CA

Practice address

181 N Oak Knoll Ave
Suite 1
Pasadena, CA 91101-4170

Phone

(626) 796-7495

Fax

(626) 796-4447

NPI assigned

Nov 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195257600000",
    "number": "1215118385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N OAK KNOLL AVE",
            "address_2": "SUITE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014170",
            "telephone_number": "626-796-7495",
            "fax_number": "626-796-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N OAK KNOLL AVE",
            "address_2": "SUITE 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014170",
            "telephone_number": "626-796-7495",
            "fax_number": "626-796-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLHAM",
        "first_name": "JACQUELYN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Miller, PSYD
• Sherika Miller
• Stuart Miller, MD
• Susan Michelle Miller
• Yvonne Christine Miller, PH.D.
• Brittany Mills-Burch
• Evelina Mills, PSYD
• Stacia Erin Mills, M. D.
• Francesca Milton
• Mimie Trang-Anh Nguyen DMD Inc

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.