Milton Edward Becknell, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

5682 Issued in OH

Practice address

7244 Far Hills Ave
Centerville, OH 45459-4207

Phone

(937) 684-2035

Fax

(937) 395-1311

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1295837771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7244 FAR HILLS AVE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594207",
            "telephone_number": "937-684-2035",
            "fax_number": "937-395-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7244 FAR HILLS AVE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594207",
            "telephone_number": "937-684-2035",
            "fax_number": "937-395-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKNELL",
        "first_name": "MILTON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OH",
            "license": "5682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2453394",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREEN SPRING (MAGELLAN)",
            "identifier": "MIS586680000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "MIS586680000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon St. Psychiatry
• James W Bean, MD
• Taylor M Beasley
• Lindsey Beattie
• Lauren Michelle Becker, MOT, OTR/L
• Bedrock at Home Ohio LLC
• James Gregory Beegan, M.D.
• Stacie Bell
• Ella Simone Ben-Porath
• Amie R Bender

• Health Service Psychologist in Centerville, OH
• Providers in Centerville, OH by specialty
• Health Service Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.