Millbrook Family Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

NY XOO9434 Issued in NY

Legal business name

MILLBROOK FAMILY CHIROPRACTIC, PC

Practice address

80 Route 343
Millbrook, NY 12545-6163

Phone

(845) 677-3425

Fax

(845) 677-5296

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Christa Ann St. Germain, DCNPI 1770680118

Title

Chiropractor

Phone

(845) 677-3425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Christa Ann St. Germain, DC, MSN, FNP-BC

  • Family Nurse Practitioner
  • Millbrook, NY
  • NPI 1770680118

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1871663575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROUTE 343",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456163",
            "telephone_number": "845-677-3425",
            "fax_number": "845-677-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROUTE 343",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456163",
            "telephone_number": "845-677-3425",
            "fax_number": "845-677-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOK FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "ST. GERMAIN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "845-677-3425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "NY XOO9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Eilis McIlvenny, DPT
• Dianne Amanda McNeil, RN; ANP
• Melissa Merlino, LMSW
• Millbrook Central School District
• Millbrook Chiropractic Office LLC
• Millbrook Family Eyecare, Inc
• Millbrook Medical Practice PC
• Millbrook Pharmacy LLC
• Millbrook Pharmacy LLC
• Millbrook Physical Therapy PC

• Chiropractor in Millbrook, NY
• Providers in Millbrook, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.