Active NPI
Daneen a. Milam, PHD, PC
- Psychologist
- San Antonio, TX
National Provider Identifier
1437444965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 22661
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033612501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- San Antonio, TX
- NPI 1023119823
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.