Millan Psychological Services

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

010782 Issued in NY

Legal business name

MILLAN PSYCHOLOGICAL SERVICES

Practice address

333 W 57TH St Apt 103
New York, NY 10019-3122

Phone

(631) 804-7767

Fax

(718) 224-9786

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Fred Millan, PH.D.NPI 1720193196

Title

Owner

Phone

(631) 804-7767

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Millan, PH.D.

  • Counseling Psychologist
  • New York, NY
  • NPI 1720193196
  NPD (past) Authorized official
• Susan G Sawyer, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1265581508
  NPD (past)
• Madeleine Unger, CSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1083762132
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1770063406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 CORPORAL KENNEDY ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612733",
            "telephone_number": "631-804-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 57TH ST APT 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193122",
            "telephone_number": "631-804-7767",
            "fax_number": "718-224-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "MILLAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-804-7767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "010782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raffaele Milizia, M.D.
• Liliya Milko
• Mill Basin Radiology PC
• Rhiannon Mill-Phillips
• Cristian Alejandro Milla Matute, MD
• Fred Millan, PH.D.
• Ramon Millan, M.D.
• Patricio Millar Vernetti, MD
• Jilliann Millard, LMHC
• Katrina G. Millard, N.P.

• 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 Aug 21, 2018; 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.