Individual provider Active NPI

Daryl Lynn Millman, PH.D.

  • Clinical Psychologist
  • Vero Beach, FL
National Provider Identifier
1316934607
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5237 Issued in FL
Practice address
2770 Indian River Blvd.
Suite 313
Vero Beach, FL 32960-6550
Phone
(772) 569-0055
Fax
(772) 234-9287
NPI assigned
Oct 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY5237 FL Primary

Addresses

Primary practice location

2770 Indian River Blvd.
Suite 313
Vero Beach, FL 32960-6550

Mailing address

1521 Smugglers CV
Vero Beach, FL 32963-2636
Phone (772) 234-6038

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Medical Center, LLC PastSince Jul 3, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFECAD

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.

NPI Registry JSON

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1316934607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 SMUGGLERS CV",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632636",
            "telephone_number": "772-234-6038",
            "fax_number": "772-234-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 INDIAN RIVER BLVD.",
            "address_2": "SUITE 313",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606550",
            "telephone_number": "772-569-0055",
            "fax_number": "772-234-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "DARYL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-01",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.