Judith Annette Milburn, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5649 Issued in CA

Practice address

840 Pavilion PL
Ashland, OR 97520-9130

Phone

(714) 330-1245

Fax

(855) 485-3130

NPI assigned

Jun 16, 2005

Last updated

Jul 7, 2022By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Psychologist

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1225033186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PAVILION PL",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209130",
            "telephone_number": "714-330-1245",
            "fax_number": "855-485-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PAVILION PL",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209130",
            "telephone_number": "714-330-1245",
            "fax_number": "855-485-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBURN",
        "first_name": "JUDITH",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "R179612",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CP5649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas A. Messinger, N.D.
• Michael E. Knapp, PHD, PC
• Joseph Micketti, LMT
• Ajana A Miki, N.D., L.AC.
• Charlotte Mikuls
• Alison Mackenzie Miller, LMT
• Alyce Lee Miller, B.S. P.T.
• Jade Miller
• Jason A Miller, LAC
• Kara J Miller, LAC

• Clinical Psychologist in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.

Verify at the official NPI Registry.