Active NPI
Millicent L Brown, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403183-01
- Practice address
- 212 5TH Ave
Bay Shore, NY 11706-6408 - Phone
- (917) 864-7560
- NPI assigned
- Feb 4, 2007
- Last updated
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F303967-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | RN178172 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | F303967-01 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN178172 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403183-01 | NY | Primary |
Addresses
Primary practice location
212 5TH Ave
Bay Shore, NY 11706-6408
Mailing address
5640 Halsey Trce SW
Atlanta, GA 30349-8755
Phone (347) 938-9246
Other practice location 1
523 S 3rd Ave
Mount Vernon, NY 10550-4519
Phone (478) 739-7868
Other practice location 2
303 Perimeter Ctr N Ste 300
Atlanta, GA 30346-3401
Phone (347) 938-9246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003239266A | Medicaid | GA | |
| 318335117B | Medicaid | GA | |
| F403183-01 | Medicaid | NY |
Other names 1
- Dr. Millicent L Henry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1590 Adamson Pkwy
Suite 110
Morrow, GA 30260-1763
Phone (347) 938-9246
169 Madison Ave
New York, NY 10016-5101
Phone (646) 814-1530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303967-01 | NY | MD | Adult Health Nurse Practitioner |
| F303967-1 | NY | MD | Adult Health Nurse Practitioner |
| F403183-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Psychology Center, LLC | Current | Accepting new patients | |
| Vision Medical Consulting, P.C. | Current | Accepting new patients | |
| Integrated Family Health NP & Psychology PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| E L Family Health NP PLLC | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Dr. Christina Vaglica Psychiatry, P.C. | Current | Accepting new patients | |
| Anytime First Call NP LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Jewish Board of Family & Childrens Services Inc | Current | Accepting new patients | |
| Jewish Board of Family and Children's Services, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Osier Health PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Dr. Christina Vaglica Psychiatry, P.C. | Current | Accepting new patients | |
| Zilmed LLC | Past | Accepting new patients | |
| Willow Health, Inc | Past | Accepting new patients | |
| Shubhang Mazumdar MD | Past | Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients | |
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients |
Locations
2999 Piedmont Rd NE
Ste 100
Atlanta, GA 30305
Phone (678) 679-8404
3715 Northside Pkwy NW
Bldg 2100
Atlanta, GA 30327
Phone (770) 938-1757
2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288
303 Perimeter Ctr N
Ste 300
Dunwoody, GA 30346
Phone (347) 938-9246
1590 Adamson Pkwy
Ste 110
Morrow, GA 30260
Phone (404) 910-3197
3295 River Exchange Dr
Ste 125
Peachtree Corners, GA 30092
Phone (347) 938-9246
8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806
212 5th Ave
Bay Shore, NY 11706
Phone (917) 864-0000
1072 Grand Concourse
Bronx, NY 10456
Phone (718) 681-4000
750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000
1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700
169 Madison Ave
#15906
New York, NY 10016
Phone (646) 814-1530
169 Madison Ave
Ste 15906
New York, NY 10016
612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403
Organizations & group practices 17
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.
-
dba Advance Practice Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Morrow, GA
- NPI 1447876719
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Vernon, NY
- NPI 1871178764
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1689755662
-
- Psychiatry Physician
- Atlanta, GA
- NPI 1063704542
-
dba Georgia Long Term Care and Consulting
- Family Medicine Physician
- Tucker, GA
- NPI 1073562922
-
- Psychiatry Physician
- Bay Shore, NY
- NPI 1255900320
-
- Psychiatry Physician
- Bay Shore, NY
- NPI 1881482305
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1194332197
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1093336703
Psychiatric/Mental Health
-
dba The Jewish Board
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1407994940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5640 HALSEY TRCE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303498755",
"telephone_number": "347-938-9246",
"fax_number": "404-346-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 5TH AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066408",
"telephone_number": "917-864-7560"
}
],
"practiceLocations": [
{
"address_1": "523 S 3rd Ave",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "NY",
"postal_code": "105504519",
"country_code": "US",
"telephone_number": "478-739-7868",
"fax_number": "404-346-9510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Perimeter Ctr N Ste 300",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303463401",
"country_code": "US",
"telephone_number": "347-938-9246",
"fax_number": "770-474-4620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "MILLICENT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303967-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN178172",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303967-01",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN178172",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403183-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003239266A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318335117B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F403183-01",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MILLICENT",
"last_name": "HENRY",
"middle_name": "L",
"prefix": "DR.",
"credential": "PMHNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.