Dannette Tina McMillan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

225 Broadhollow Rd
Melville, NY 11747-4822

Phone

(631) 385-7780

NPI assigned

Dec 6, 2016

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1225572589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CLERMONT AVE APT A1",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102941",
            "telephone_number": "203-212-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474822",
            "telephone_number": "631-385-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 S Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105531918",
            "country_code": "US",
            "telephone_number": "929-241-5381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "DANNETTE",
        "middle_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn McKenna
• Karin McLaughlin
• Brook McLean
• Shauntae McLeod
• Juliane McManus
• MCN Quad Health Services, Inc (MCN Consultants Network, Inc)
• Mysti Nicolle McNeill
• Lauren H McRae, LMHC
• Christina McVicar, LMFT
• Sally Means

• Behavior Technician in Melville, NY
• Providers in Melville, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.