Individual provider Active NPI

Lisa Joann Milone, PSYD

  • Clinical Psychologist
  • Forest Hills, NY
National Provider Identifier
1427610203
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
024932 Issued in NY
Practice address
10915 Queens Blvd Apt 1E
Forest Hills, NY 11375-5487
Phone
(914) 984-7878
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 024932 NY Primary

Addresses

Primary practice location

10915 Queens Blvd Apt 1E
Forest Hills, NY 11375-5487

Mailing address

10915 Queens Blvd Apt 1E
Forest Hills, NY 11375-5487
Phone (914) 703-0162

Other practice location 1

10505 69th Ave Ofc 1
Forest Hills, NY 11375-3312
Phone (914) 984-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20251009000895 NY Order and Referring Only - Clinical Psychologist 6406353085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1427610203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10915 QUEENS BLVD APT 1E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755487",
            "telephone_number": "914-703-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 QUEENS BLVD APT 1E",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755487",
            "telephone_number": "914-984-7878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10505 69th Ave Ofc 1",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113753312",
            "country_code": "US",
            "telephone_number": "914-984-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILONE",
        "first_name": "LISA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.