Shirley Ann Millico

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

360 Crossroads Rd.
Watsonville, CA 95076

Phone

(831) 724-9333

NPI assigned

May 22, 2008

Last updated

Nov 7, 2012By 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

Other identifiers 1

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1306003611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CROSSROADS RD.",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "95076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CROSSROADS RD.",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "95076",
            "telephone_number": "831-724-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLICO",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
            "identifier": "ZZZ91892Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Svetlana Mezentsev, DDS
• Aditi Mhaskar, MD
• Michael J Suval (Pajaro Valley Personal Healthcare Associates)
• Timothy Christopher Miguel
• Norah Miller
• Christopher Mills, PA
• Monica Miramontes
• Faisal M Mirza, MD, FRCSC
• Sidney Mitchell, MD
• Joshua P Mitnick, DPM

• Mental Health Counselor in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.