Individual provider Active NPI

Jaime Lynne Milford, PH.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1346487394
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7838 Issued in FL
Practice address
11707 Club Dr
Jahva Outpatient Center (116B)
Tampa, FL 33612-5521
Phone
(813) 631-7135
Fax
(813) 631-7128
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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 7838 FL Primary

Addresses

Primary practice location

11707 Club Dr
Jahva Outpatient Center (116B)
Tampa, FL 33612-5521

Mailing address

11707 Club Dr
Jahva Outpatient Center (116B)
Tampa, FL 33612-5521
Phone (813) 631-7135

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7838FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1346487394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 CLUB DR",
            "address_2": "JAHVA OUTPATIENT CENTER (116B)",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125521",
            "telephone_number": "813-631-7135",
            "fax_number": "813-631-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 CLUB DR",
            "address_2": "JAHVA OUTPATIENT CENTER (116B)",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125521",
            "telephone_number": "813-631-7135",
            "fax_number": "813-631-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILFORD",
        "first_name": "JAIME",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "7838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.