Active NPI
Millie Campbell-Dublin, M.S.CCC-SLP
- Speech-Language Pathologist
- Westwood, NJ
National Provider Identifier
1821241688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003887-1
- Practice address
- 64 Addicks Rd
Westwood, NJ 07675-3524 - Phone
- (201) 664-6704
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003887-1 | NY | Primary |
Addresses
Primary practice location
64 Addicks Rd
Westwood, NJ 07675-3524
Mailing address
64 Addicks Rd
Westwood, NJ 07675-3524
Phone (201) 664-6704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003887-1 | NY | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1821241688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 ADDICKS RD",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753524",
"telephone_number": "201-664-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 ADDICKS RD",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753524",
"telephone_number": "201-664-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL-DUBLIN",
"first_name": "MILLIE",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003887-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.