Millie's Youth Services, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

MILLIE'S YOUTH SERVICES, INC.

Practice address

2512 Havenscourt Blvd
Oakland, CA 94605-1935

Phone

(510) 568-4601

Fax

(510) 568-4339

NPI assigned

Aug 31, 2020

Last updated

May 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Millie Winn

Title

Executive Director

Phone

(510) 772-8458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1699389452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CAMISA CIR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054919",
            "telephone_number": "510-772-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 HAVENSCOURT BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946051935",
            "telephone_number": "510-568-4601",
            "fax_number": "510-568-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE'S YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-772-8458"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Miller
• Triston Miller
• Isabella Millet
• Monica Nicole Millett
• Sherri Lee Millick
• Derek Anthony Millner
• Debra Mills Ray, RN
• Jeannine Mills
• Jetaun Mills
• John Mills

• Emotionally Disturbed Childrens' Residential Treatment Facility in Oakland, CA
• Providers in Oakland, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.