Richard J. Milan Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001684 Issued in VA

Practice address

3635 Manassas Dr
Roanoke, VA 24018-4031

Phone

(540) 774-4686

Fax

(540) 989-8893

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Avery E Kerr Dmin LPC LLC

  • Mental Health Counselor
  • Roanoke, VA
  • NPI 1366265357
  NPD (past)
• Onstead Counseling Services LLC

  • Clinical Social Worker
  • Danville, VA
  • NPI 1588231419
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356443170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 MANASSAS DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184031",
            "telephone_number": "540-774-4686",
            "fax_number": "540-989-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 MANASSAS DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184031",
            "telephone_number": "540-774-4686",
            "fax_number": "540-989-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAN",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007751320",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Micheal
• Elizabeth B Mick, FNP
• Cassandra Mierisch, M. D.
• Melissa Lundy Milam
• Thomas Richerson Milam, MD
• Maureen Susan Milauskas, FNP
• Jared Abrahm Milbert, PHARMD
• Jennie Raven Miles
• Steven C Miles, PA-C
• Elizabeth Anne Miletich, DPT

• Clinical Psychologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.