Jonathan Miljus, PH.D.
Individual provider Active NPI Clinical Psychologist · Brooklyn, NY
NPI 1740542166 · NPPES record last updated Dec 19, 2012
Key facts
- NPI
- 1740542166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 018958 (NY)
- Practice address
- 681 Clarkson Ave
Brooklyn, NY 11203-2125 - Phone
- (718) 221-7555
- NPI assigned
- Jun 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Kelly E Bunt LCSW PC
Practice addresses (Care Compare)
21 Davis Ave
Stop 2
Poughkeepsie, NY 12603-2649
Phone (845) 867-4926
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120725000867 | NY | Practitioner - Clinical Psychologist | 3779749320 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018958 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly E Bunt LCSW PC | Current |
Accepting new patients | |
| Connecting the Dots Hudson Valley Youth & Family Services Inc. | Past |
Accepting new patients | |
| Yorkville Psychiatry PLLC | Past | Accepting new patients |
Locations
80 Washington St
Ste 305
Poughkeepsie, NY 12601
Phone (845) 867-4926
21 Davis Ave
Stop 2
Poughkeepsie, NY 12603
Phone (845) 867-4926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018958 | NY | Yes |
Addresses
Primary practice location
681 Clarkson Ave
Brooklyn, NY 11203-2125
Mailing address
681 Clarkson Ave
Brooklyn, NY 11203-2125
Phone (718) 221-7555
Other providers in Brooklyn, NY
- Esther Milina
- Antonella Milio
- Maria Militano
- Militello Dermatology PLLC
- Sophia Milito
- Yelena Milke
- Mill Basin Daycare Center, LLC
- Mill Basin Imaging
- Mill Basin Medical Health PC
- Mill Basin Optical Inc
All providers in Brooklyn, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.