Active NPI
Sherley Millet, M.D.
- Psychiatry Physician
- Island Park, NY
National Provider Identifier
1275686479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 210110
- Practice address
- 1 Long Beach Rd
Island Park, NY 11558-2254 - Phone
- (516) 432-0300
- Fax
- (516) 432-8281
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 210110 | NY | Primary |
Addresses
Primary practice location
1 Long Beach Rd
Island Park, NY 11558-2254
Mailing address
17520 Wexford Ter
#3U
Jamaica, NY 11432-2872
Phone (718) 526-0104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01981171 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426
4404 Queens Blvd
2ND
Sunnyside, NY 11104-2406
Phone (718) 706-1663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Providers of Western Queens, Inc. | Current | Accepting new patients | |
| Franklin Hospital | Past | Accepting new patients | |
| Welllife Network Inc | Past | Accepting new patients | |
| Welllife Network Inc. | Past | Accepting new patients | |
| Epilepsy & Neurophysiology Medical Consulting PC | Past | Accepting new patients | |
| Franklin Physician Services | Past | Accepting new patients |
Locations
4404 Queens Blvd
Sunnyside, NY 11104
Phone (718) 706-1662
4404 Queens Blvd
Fl 2
Sunnyside, NY 11104
Phone (718) 392-3516
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Jackson Heights, NY
- NPI 1477699791
-
- Case Management Agency
- Brooklyn, NY
- NPI 1588611842
-
- Neurology Physician
- White Plains, NY
- NPI 1770564593
-
- General Acute Care Hospital
- Valley Stream, NY
- NPI 1528075108
-
- Hospitalist Physician
- Valley Stream, NY
- NPI 1760571780
-
- Case Management Agency
- Elmont, NY
- NPI 1508012816
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275686479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17520 WEXFORD TER",
"address_2": "#3U",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322872",
"telephone_number": "718-526-0104",
"fax_number": "718-526-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LONG BEACH RD",
"city": "ISLAND PARK",
"state": "NY",
"postal_code": "115582254",
"telephone_number": "516-432-0300",
"fax_number": "516-432-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLET",
"first_name": "SHERLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "210110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01981171",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Island Park, NY
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.
- 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.