Active NPI
John A, Millhouse, EDD
- Counseling Psychologist
- Scarborough, ME
National Provider Identifier
1306809652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS447
- Practice address
- 200 Professional Drive
Scarborough, ME 04074-8434 - Phone
- (207) 883-0711
- Fax
- (207) 883-2204
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PS447 | ME | Primary |
Addresses
Primary practice location
200 Professional Drive
Scarborough, ME 04074-8434
Mailing address
200 Professional Drive
Scarborough, ME 04074-8434
Phone (207) 883-0711
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS447 | ME | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Behavioral Healthcare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1639131287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1306809652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PROFESSIONAL DRIVE",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748434",
"telephone_number": "207-883-0711",
"fax_number": "207-883-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PROFESSIONAL DRIVE",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040748434",
"telephone_number": "207-883-0711",
"fax_number": "207-883-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLHOUSE",
"first_name": "JOHN",
"middle_name": "A,",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "ME",
"license": "PS447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.