Gregory Broughton Milbourne, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS015613 Issued in PA

Practice address

105 Rutgers Ave Unit 320
Swarthmore, PA 19081-2237

Phone

(610) 348-7780

Fax

(610) 672-9600

NPI assigned

Oct 27, 2006

Last updated

May 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Nicole Sestito, PH.D.

  • Clinical Neuropsychologist
  • Media, PA
  • NPI 1215382395
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1598841314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RUTGERS AVE UNIT 320",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812237",
            "telephone_number": "610-348-7780",
            "fax_number": "610-672-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RUTGERS AVE UNIT 320",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812237",
            "telephone_number": "610-348-7780",
            "fax_number": "610-672-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBOURNE",
        "first_name": "GREGORY",
        "middle_name": "BROUGHTON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Matijosaitis, LCSW
• Emily McCarthy, M.S., CCC-SLP
• George Edward McCarthy Jr., M.D.
• Michaela Eileen McLaughlin
• Frances A Meehan, PSYD
• Laura Minsk-Karellos, D.M.D.
• Nicholle Moore
• Move Well LLC
• Elizabeth Henshaw Musewicz, MS, LPC
• Neal Bozentka D.M. D

• Clinical Psychologist in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.