Carlene M Macmillan, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

278517 Issued in NY

Practice address

58 N 9TH St Ste 103
Brooklyn, NY 11249-2018

Phone

(929) 227-6577

NPI assigned

Jun 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, NY, CA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

Harvard Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nyc Psychiatrist Services P.C.Group PAC ID 4385008424, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nyc Psychiatrist Services P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1598236283
  Medicare reassignment Care Compare group NPD Authorized official
• Mass General Brigham Medical Group Suburban Massachusetts Inc

  • Family Medicine Physician
  • Newton, MA
  • NPI 1538191218

  Child & Adolescent Psychiatry

  Medicare reassignment NPD
• Owen Muir MD Psychiatry Ca PC

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1871388611
  Medicare reassignment NPD
• The McLean Hospital Corporation

  • Psychiatry Physician
  • Belmont, MA
  • NPI 1114979580
  Medicare reassignment NPD
• Radial Health Florida, P.a.

  • Psychiatry Physician
  • New York, NY
  • NPI 1285426874
  NPD
• Total Life Ca, P.C.

  • Cognitive & Behavioral Psychologist
  • Los Angeles, CA
  • NPI 1689389603
  NPD
• Total Life NJ P.a.

  • Cognitive & Behavioral Psychologist
  • New Brunswick, NJ
  • NPI 1104659614
  NPD

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1689801417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORTHSIDE PIERS",
            "address_2": "PH6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11249",
            "telephone_number": "929-227-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N 9TH ST STE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112492018",
            "telephone_number": "929-227-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMILLAN",
        "first_name": "CARLENE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2023-05-23",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "278517",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "248958",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "248958",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "278517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110094989A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane P Macky
• Timothy Maclaga, D.M.D.
• Wendy Macleish
• Alexander Maclennan
• Ucelta Maclorrain
• Claire Elizabeth Macmillan, DO
• Macnair Lactation LLC.
• Grace Anne Macnair, IBCLC
• Samantha M Macphail, NP
• Jeanne P Macrae, MD

• Child & Adolescent Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.