Katlene Millo-Bayan, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2023088391 Issued in CA

Practice address

39180 Liberty St Ste 205
Fremont, CA 94538-2586

Phone

(510) 451-2000

NPI assigned

Oct 20, 2023

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

Other names 1

• Katlene Millo Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ocean Psychiatry IncGroup PAC ID 6305277633, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ocean Psychiatry Inc

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1396306338
  Medicare reassignment Care Compare group NPD
• Ocean Psychological Services, Inc.

  • Behavior Analyst
  • Fremont, CA
  • NPI 1932865029
  NPD

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1295517464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39951 FREMONT BLVD APT 324",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382685",
            "telephone_number": "408-609-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 LIBERTY ST STE 205",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382586",
            "telephone_number": "510-451-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLO-BAYAN",
        "first_name": "KATLENE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2023088391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLENE",
            "last_name": "MILLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Renee Miller, MD
• Linda Kristine Miller, D.C.
• Rachel A.S. Miller, PA-C
• Robert Bruce Miller, MD
• Vanessa Marie Miller
• Michael Mills-Krutilek
• Brent Mills
• Fioneisha Mills, MSN, ARNP, FNP-C
• Milu Sinha DDS, Inc
• Mimansa Cholera DDS Dental Corporation

• Psychiatric/Mental Health Nurse Practitioner in Fremont, CA
• Providers in Fremont, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; 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.