Individual provider Active NPI

Patricia Mae Millsaps-Linger, PH.D.

  • Counseling Psychologist
  • Canton, OH
National Provider Identifier
1568587434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5295 Issued in OH
Practice address
1829 Fulton Rd. NW
Canton, OH 44709-3523
Phone
(330) 456-1899
Fax
(330) 456-4191
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5295 OH Primary

Addresses

Primary practice location

1829 Fulton Rd. NW
Canton, OH 44709-3523

Mailing address

1829 Fulton Rd. NW
Canton, OH 44709-3523
Phone (330) 456-1899

Other identifiers 1

IdentifierTypeStateIssuer
2064448MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000184 OH Practitioner - Clinical Psychologist 6608832092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Educational Solutions, LLCGroup PAC ID 7810953288, 2 clinicians

Practice addresses (Care Compare)

1829 Fulton Rd NW
Canton, OH 44709-3523
Phone (330) 456-1899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5295OHMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Educational Solutions, LLC CurrentSince Sep 15, 2004 Accepting new patients

Locations

1829 Fulton Rd NW
Canton, OH 44709
Phone (330) 456-1899

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568587434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 FULTON RD. NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093523",
            "telephone_number": "330-456-1899",
            "fax_number": "330-456-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 FULTON RD. NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093523",
            "telephone_number": "330-456-1899",
            "fax_number": "330-456-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSAPS-LINGER",
        "first_name": "PATRICIA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2064448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.