Individual provider Active NPI

Carly Marcy Millanski, MS, CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1326751785
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119030 Issued in TX
Practice address
10228 Bankhead Dr
Austin, TX 78747-1723
Phone
(972) 567-6598
NPI assigned
Jan 2, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 27739 CA
Speech-Language Pathologist 235Z00000X 119030 TX Primary

Addresses

Primary practice location

10228 Bankhead Dr
Austin, TX 78747-1723

Mailing address

1900 Scofield Ridge Pkwy Apt 2603
Austin, TX 78727-1610
Phone (972) 567-6598

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
Master of Science

State licenses

LicenseStateTypeSpecialty
27739CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Millanski Center for Aphasia and Cognitive-Communication Disorder Speech-Language Pathologist CurrentSince Oct 30, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1326751785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SCOFIELD RIDGE PKWY APT 2603",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787271610",
            "telephone_number": "972-567-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10228 BANKHEAD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787471723",
            "telephone_number": "972-567-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLANSKI",
        "first_name": "CARLY",
        "middle_name": "MARCY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27739",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.