Active NPI
Peter Donald Mills, PH.D., M.S.
- Counseling Psychologist
- White River Junction, VT
National Provider Identifier
1255342655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 635
- Practice address
- 11Q Vamc White River JCT
215 N. Main Street
White River Junction, VT 05009-0001 - Phone
- (802) 295-9363
- Fax
- (802) 291-6286
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 635 | NH | Primary |
Addresses
Primary practice location
11Q Vamc White River JCT
215 N. Main Street
White River Junction, VT 05009-0001
Mailing address
48 Middle Rd E
Norwich, VT 05055-9329
Phone (802) 649-1610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 635 | Other | NH | PSYCHOLOGIST LICENSE |
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 Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635 | NH | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255342655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 MIDDLE RD E",
"city": "NORWICH",
"state": "VT",
"postal_code": "050559329",
"telephone_number": "802-649-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11Q VAMC WHITE RIVER JCT",
"address_2": "215 N. MAIN STREET",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050090001",
"telephone_number": "802-295-9363",
"fax_number": "802-291-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "PETER",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "PH.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NH",
"license": "635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "635",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.