Active NPI
Lisa Marie Milford, ED.S.
- Clinical Psychologist
- Pittsburg, KS
National Provider Identifier
1588828552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 049
- Practice address
- 1102 S Rouse St
Pittsburg, KS 66762-6048 - Phone
- (620) 687-3672
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 049 | KS | Primary |
Addresses
Primary practice location
1102 S Rouse St
Pittsburg, KS 66762-6048
Mailing address
1102 S Rouse St
Pittsburg, KS 66762-6048
Phone (620) 687-3672
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dccca, Inc. | Past | Accepting new patients | |
| Dccca, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburg, KS
- NPI 1861793556
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pittsburg, KS
- NPI 1417076001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1588828552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 S ROUSE ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626048",
"telephone_number": "620-687-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 S ROUSE ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626048",
"telephone_number": "620-687-3672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILFORD",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.