Active NPI
Aimee P Miltich, PHD
- Psychologist
- Memphis, TN
National Provider Identifier
1477677433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2760
- Practice address
- 1250 Farrow Rd
Memphis, TN 38116-7116 - Phone
- (718) 298-4375
- NPI assigned
- Mar 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2760 | TN | Primary |
Addresses
Primary practice location
1250 Farrow Rd
Memphis, TN 38116-7116
Mailing address
570 Bakers Bridge Ave
Franklin, TN 37067
Phone (615) 290-6668
Other practice location 1
570 Bakers Bridge Ave
Franklin, TN 37067
Phone (615) 790-3200 ext. 126
Other names 1
- Aimee Lyst
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2760 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1477677433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 BAKERS BRIDGE AVE",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "37067",
"telephone_number": "615-290-6668",
"fax_number": "615-794-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 FARROW RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381167116",
"telephone_number": "718-298-4375"
}
],
"practiceLocations": [
{
"address_1": "570 Bakers Bridge Ave",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "37067",
"country_code": "US",
"telephone_number": "615-790-3200 x126",
"fax_number": "615-794-2883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILTICH",
"first_name": "AIMEE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "2760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "LYST",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.