Organization Active NPI

Daneen a. Milam, PHD, PC

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1437444965
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
22661 Issued in TX
Legal business name
DANEEN A. MILAM, PHD, PC
Practice address
147 W. Sunset Rd
Suite 101
San Antonio, TX 78209-2681
Phone
(210) 828-3624
Fax
(210) 828-2873
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Daneen Adds Milam, PHD
Title
Psychologist
Phone
(210) 828-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 22661 TX Primary

Addresses

Primary practice location

147 W. Sunset Rd
Suite 101
San Antonio, TX 78209-2681

Mailing address

147 W. Sunset Rd
Suite 101
San Antonio, TX 78209-2681
Phone (210) 828-3624

Other identifiers 1

IdentifierTypeStateIssuer
033612501MedicaidTX

National Provider Directory

National Provider Directory

Locations

359 E Hildebrand Ave
San Antonio, TX 78212
Phone (210) 710-6579

13620 NW Military Hwy
Rm 2
Shavano Park, TX 78231
Phone (210) 828-3624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1437444965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W. SUNSET RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092681",
            "telephone_number": "210-828-3624",
            "fax_number": "210-828-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W. SUNSET RD",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092681",
            "telephone_number": "210-828-3624",
            "fax_number": "210-828-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANEEN A. MILAM, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "DANEEN",
        "authorized_official_middle_name": "ADDS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-828-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033612501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.