Active NPI
Monica Lynn McMillian, M.A.
- Psychologist
- Charleston, WV
National Provider Identifier
1225343718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1000
- Practice address
- 1018 Kanawha Blvd E
Suite 900
Charleston, WV 25301-2841 - Phone
- (304) 720-1060
- Fax
- (304) 720-0290
- NPI assigned
- Aug 10, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1000 | WV | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1000 | WV | |
| Clinical Psychologist | 103TC0700X | 1000 | WV | |
| Counseling Psychologist | 103TC1900X | 1000 | WV | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1000 | WV | |
| Family Psychologist | 103TF0000X | 1000 | WV |
Addresses
Primary practice location
1018 Kanawha Blvd E
Suite 900
Charleston, WV 25301-2841
Mailing address
1018 Kanawha Blvd E
Suite 900
Charleston, WV 25301-2841
Phone (304) 720-1060
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1225343718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 KANAWHA BLVD E",
"address_2": "SUITE 900",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012841",
"telephone_number": "304-720-1060",
"fax_number": "304-720-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 KANAWHA BLVD E",
"address_2": "SUITE 900",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012841",
"telephone_number": "304-720-1060",
"fax_number": "304-720-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMILLIAN",
"first_name": "MONICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "1000",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "WV",
"license": "1000",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1000",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WV",
"license": "1000",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WV",
"license": "1000",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WV",
"license": "1000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.