Gary K. Mills, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PSY4876 Issued in CA

Practice address

1700 Soscol Ave
Suite 25
Napa, CA 94559-1351

Phone

(707) 963-1493

Fax

(707) 963-1463

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Pacifica Pain Management Services

  • Substance Abuse Rehabilitation Facility
  • Napa, CA
  • NPI 1467467357
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1881600872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SOSCOL AVE",
            "address_2": "SUITE 25",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591351",
            "telephone_number": "707-963-1493",
            "fax_number": "707-963-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SOSCOL AVE",
            "address_2": "SUITE 25",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591351",
            "telephone_number": "707-963-1493",
            "fax_number": "707-963-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "GARY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY4876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PSY4876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa K Miller, CADC-CAS
• Lovera Wolf Miller, M.D.
• Margaret Leftwich Miller, MD
• Veronica Miller
• Wendi Ann Miller, RN
• Lawrence A. Mills, MD
• Michael Andrew Mills, MFT
• Tanya Lynn Mills, D.C.
• Lisa Rose Millstead
• Lizette D Mina

• Health Service Psychologist in Napa, CA
• Providers in Napa, CA by specialty
• Health Service Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.