Molly Caroline Millwood, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

842 Issued in VT

Practice address

29 Ethan Allen Ave
Suite 326B
Colchester, VT 05439-0001

Phone

(802) 578-4367

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Molly Caroline Millwood Kirshenbaum Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 11, 2025 through Jan 11, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528280682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WINOOSKI PARK",
            "address_2": "BOX 122",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054390001",
            "telephone_number": "802-578-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ETHAN ALLEN AVE",
            "address_2": "SUITE 326B",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054390001",
            "telephone_number": "802-578-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWOOD",
        "first_name": "MOLLY",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011275",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VERMONT PROVIDER#",
            "identifier": "915 00068518",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "KIRSHENBAUM",
            "middle_name": "CAROLINE MILLWOOD",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vera P Mikhailova, MS, LCMHC
• Michelle E Miles, B.S IN PT
• Donna Miller, PHARMD, RPH
• Ronald B Miller, PH.D.
• Vincent James Miller, M.D.
• Christa Raylene Mindrum, MD
• Alexis Faye Pabich Mittelstadt, P.T.
• Mobileyes Optometry Inc
• Victoria A Moody
• Alison D Moore, PHARMD

• Psychologist in Colchester, VT
• Providers in Colchester, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.