Individual provider Active NPI

Millicent L Brown, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bay Shore, NY
National Provider Identifier
1407994940
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403183-01 Issued in NY
Practice address
212 5TH Ave
Bay Shore, NY 11706-6408
Phone
(917) 864-7560
NPI assigned
Feb 4, 2007
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003239266AMedicaidGA
318335117BMedicaidGA
F403183-01MedicaidNY

Other names 1

  • Dr. Millicent L Henry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050420001081 NY Practitioner - Nurse Practitioner 3971541913 Reassigns benefits to 3 organizations
I20141219000694 GA Practitioner - Nurse Practitioner 3971541913 Reassigns benefits to 4 organizations

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
Osier Health PCGroup PAC ID 6507229317, 12 clinicians

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

LicenseStateTypeSpecialty
F303967-01NYMDAdult Health Nurse Practitioner
F303967-1NYMDAdult Health Nurse Practitioner
F403183-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Psychology Center, LLC CurrentSince Dec 1, 2017 Accepting new patients
Vision Medical Consulting, P.C. CurrentSince Oct 16, 2015 Accepting new patients
Integrated Family Health NP & Psychology PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2020 Accepting new patients
E L Family Health NP PLLC CurrentSince Oct 1, 2020 Accepting new patients
Thrive Counseling LLC CurrentSince May 5, 2023 Accepting new patients
Dr. Christina Vaglica Psychiatry, P.C. CurrentSince Apr 6, 2025 Accepting new patients
Anytime First Call NP LLC Psychiatric/Mental Health CurrentSince May 1, 2021 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Oct 21, 2021 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Psychiatric/Mental Health CurrentSince Oct 21, 2021 Accepting new patients
Osier Health PC Psychiatric/Mental Health CurrentSince Jul 8, 2025 Accepting new patients
Dr. Christina Vaglica Psychiatry, P.C. CurrentSince Apr 27, 2025 Accepting new patients
Zilmed LLC PastSince Jan 1, 2019 Accepting new patients
Willow Health, Inc PastSince Jul 8, 2025 Accepting new patients
Shubhang Mazumdar MD PastSince Oct 1, 2014 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 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.

View all 17

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

Verify at the official NPI Registry.