Fred Millan, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

0107821 Issued in NY

Practice address

333 W 57TH St
Ste 103
New York, NY 10019-3159

Phone

(212) 541-8869

Fax

(718) 224-9786

NPI assigned

Aug 19, 2006

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 NY

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Millan Psychological Services

  • Counseling Psychologist
  • New York, NY
  • NPI 1770063406
  NPD (past) Authorized official
• Nyc Apothecary Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1508367863
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720193196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 57TH ST",
            "address_2": "STE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193159",
            "telephone_number": "212-541-8869",
            "fax_number": "718-224-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 57TH ST",
            "address_2": "STE 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193159",
            "telephone_number": "212-541-8869",
            "fax_number": "718-224-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "0107821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliya Milko
• Mill Basin Radiology PC
• Rhiannon Mill-Phillips
• Cristian Alejandro Milla Matute, MD
• Millan Psychological Services
• Ramon Millan, M.D.
• Patricio Millar Vernetti, MD
• Jilliann Millard, LMHC
• Katrina G. Millard, N.P.
• Catherine Araneta Millares-Sipin, PHARM.D, BCPS, BCACP

• Counseling Psychologist in New York, NY
• Providers in New York, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.