Individual provider Active NPI

Sylvia Nassar-McMillan, PH.D.

  • Counselor
  • Raleigh, NC
National Provider Identifier
1609196070
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2752 Issued in NC
Practice address
4112 Rowan St
Raleigh, NC 27609-5659
Phone
(919) 608-3155
Fax
(919) 515-6891
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2752 NC Primary

Addresses

Primary practice location

4112 Rowan St
Raleigh, NC 27609-5659

Mailing address

4112 Rowan St
Raleigh, NC 27609-5659
Phone (919) 608-3155

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2752NCMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1609196070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 ROWAN ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095659",
            "telephone_number": "919-608-3155",
            "fax_number": "919-515-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 ROWAN ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095659",
            "telephone_number": "919-608-3155",
            "fax_number": "919-515-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR-MCMILLAN",
        "first_name": "SYLVIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.