Individual provider Active NPI

Mindy Ryterman Milstein, PHD PSYCHOLOGIST

  • Psychologist
  • Eldersburg, MD
National Provider Identifier
1518956960
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3563 Issued in MD
Practice address
1645 Liberty Rd
Suite 104
Eldersburg, MD 21784-6521
Phone
(410) 795-4764
Fax
(410) 795-4462
NPI assigned
Oct 18, 2005
Last updated
Feb 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3563 MD Primary

Addresses

Primary practice location

1645 Liberty Rd
Suite 104
Eldersburg, MD 21784-6521

Mailing address

PO Box 502
New Windsor, MD 21776-0502
Phone (410) 635-8686

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

LicenseStateTypeSpecialty
3563MDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1518956960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "NEW WINDSOR",
            "state": "MD",
            "postal_code": "217760502",
            "telephone_number": "410-635-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 LIBERTY RD",
            "address_2": "SUITE 104",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846521",
            "telephone_number": "410-795-4764",
            "fax_number": "410-795-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILSTEIN",
        "first_name": "MINDY",
        "middle_name": "RYTERMAN",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.