Michael Milin, PH.D. – Clinical Psychologist

Key facts

NPI: 1508022203
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: PSY22463 (CA)
Practice address: 100 Prison Rd
Represa, CA 95671-1020
Phone: (916) 985-8610
NPI assigned: Aug 1, 2008
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Corrections and Rehabilitation-Headquarters Pharmacy · Represa, CA · NPI 1154953529

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
PSY22463	CA	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Corrections and Rehabilitation-Headquarters		Current since Nov 26, 2023	Accepting new patients

Locations

100 Prison Rd
Represa, CA 95671
Phone (916) 294-3061

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	PSY22463	CA	Yes

Addresses

Primary practice location

100 Prison Rd
Represa, CA 95671-1020

Mailing address

PO Box 7018
Folsom, CA 95763-7018
Phone (916) 985-8610

Other providers in Represa, CA

All providers in Represa, CA · Clinical Psychologist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.