Pamela Anne McMillan, M.A., ED. SPEC.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016666 Issued in MI

Practice address

128 N Court Ave
Gaylord, MI 49735-1408

Phone

(989) 448-2328

Fax

(231) 941-8981

NPI assigned

Jun 10, 2016

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Harbor Hall, Inc.

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1851865638
  NPD (past)
• Harbor Hall, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Petoskey, MI
  • NPI 1962551648
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1821447723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351408",
            "telephone_number": "989-448-2328",
            "fax_number": "231-941-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351408",
            "telephone_number": "989-448-2328",
            "fax_number": "231-941-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.A., ED. SPEC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clorissa M McEachern, CPNP-PC
• McLaren Central Michigan
• Roxanne McLintock, LBSW
• Dylan McMahan, DDS
• Ryan Brooks McMahan, DDS. MS
• Michael John McNamara, RPH
• McNamara, Visconti & Associates PLC
• Breez McPherson, CADC-DP
• Mark David McPherson, M.ED
• Ronald L Mead, OD

• Clinical Psychologist in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.