Active NPI
Blythe Marin Million, PSY.D.
- Psychologist
- Beverly Hills, CA
National Provider Identifier
1700063641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 20355
- Practice address
- 9171 Wilshire Blvd
Suite 660
Beverly Hills, CA 90210-5530 - Phone
- (310) 283-9380
- NPI assigned
- Jan 23, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 20355 | CA | Primary |
Addresses
Primary practice location
9171 Wilshire Blvd
Suite 660
Beverly Hills, CA 90210-5530
Mailing address
2127 Stewart St
Santa Monica, CA 90404-5296
Phone (310) 745-7560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BN067Z | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 20355 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1700063641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2127 STEWART ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904045296",
"telephone_number": "310-745-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9171 WILSHIRE BLVD",
"address_2": "SUITE 660",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105530",
"telephone_number": "310-283-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLION",
"first_name": "BLYTHE",
"middle_name": "MARIN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 20355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BN067Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.