Maren Hart McMillan, PSYD LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4624 Issued in MN

Practice address

2324 University W Ave 120
Saint Paul, MN 55114-1854

Phone

(651) 644-4100

NPI assigned

Jul 13, 2006

Sex

Female

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

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.

• Psych Recovery Inc

  • Psychiatry Physician
  • Saint Paul, MN
  • NPI 1316189541

  Psychologist

  NPD (past)
• Psychiatric Recovery PA

  • Adolescent and Children Mental Health Clinic/Center
  • Saint Paul, MN
  • NPI 1891713681
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1881619534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY W AVE 120",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141854",
            "telephone_number": "651-644-4100",
            "fax_number": "651-644-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 UNIVERSITY W AVE 120",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141854",
            "telephone_number": "651-644-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MAREN",
        "middle_name": "HART",
        "credential": "PSYD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111026800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deena M McMahon, LICSW
• Donelle McMahon, ATC
• Jolene Audrey McMahon, OTR/L
• Kirsten Lesley McManaman, CRNA
• Theodore McMenomy, MD
• Mark McMillan, M.D.
• Bonnie Sue McMillin, LP
• Heather McMoore
• Amy McNally, MD
• Beth Patricia McNally, LPCC

• Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.