Mile High Kids Therapeutic Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MILE HIGH KIDS THERAPEUTIC SOLUTIONS

Practice address

2712 Southern Blvd Ste 200
Virginia Beach, VA 23452-7429

Phone

(757) 962-8005

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Cardell C Patillo Jr., DHA

Title

Executive Director / Owner

Phone

(757) 962-8005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1801646047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 SOUTHERN BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527429",
            "telephone_number": "757-962-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 SOUTHERN BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527429",
            "telephone_number": "757-962-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH KIDS THERAPEUTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "PATILLO",
        "authorized_official_first_name": "CARDELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / OWNER",
        "authorized_official_telephone_number": "757-962-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Fernandez DDS, LTD
• Nikole Michelle Mihill, NP
• Lewis R Mikesell, LCSW
• Mark Daniel Milcarek
• Donald Alan Mildrew, PT
• Elizabeth L Miles
• Jennifer Miles
• Meredith Miles, DPT
• Payton Grissom Miles, BCBA
• Rebecca Miles, MSOT, OTR/L

• Community/Behavioral Health Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.