Ivy Beth Millman, M.S. CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012658 Issued in NY

Practice address

200 Carroll Ave
Mamaroneck, NY 10543-2802

Phone

(914) 777-4635

NPI assigned

Sep 20, 2010

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1386952711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SEACORD RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043119",
            "telephone_number": "914-813-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARROLL AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432802",
            "telephone_number": "914-777-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "IVY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHING LICENSE",
            "identifier": "012658",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12047105",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyzza Lynn Menendez
• Lydia V Mihovilovic-Humes, DDS
• Paula Jean Miller, MS, LMSW
• Thomas Edward Miller, LMSW
• Alana Millings, LMFT
• Jennifer Eve Millman, MA, CCC-SLP
• Roseanne Milman, PSYD
• Abraham Mizrahi, MD
• Jordyn Modelevsky
• Deanna Marie Montanez

• Speech-Language Pathologist in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.