Active NPI
Judy B Millington, PHD
- Clinical Psychologist
- Kingsport, TN
National Provider Identifier
1891750410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P1833
- Practice address
- 110 E Main St
Kingsport, TN 37660-4212 - Phone
- (423) 288-6120
- Fax
- (423) 288-3481
- NPI assigned
- Apr 18, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P1833 | TN | Primary |
Addresses
Primary practice location
110 E Main St
Kingsport, TN 37660-4212
Mailing address
110 E Main St
Kingsport, TN 37660-4212
Phone (423) 288-6120
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252553000 | Other | TN | MAGELLAN |
| 1510671 | Medicaid | TN | |
| 010090407 | Medicaid | VA | |
| 2500174 | Other | TN | BCBS TN |
Other names 1
- Dr. Judith B Millington
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1833 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428796800000",
"number": "1891750410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E MAIN ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604212",
"telephone_number": "423-288-6120",
"fax_number": "423-288-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E MAIN ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604212",
"telephone_number": "423-288-6120",
"fax_number": "423-288-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLINGTON",
"first_name": "JUDY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2015-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P1833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "252553000",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510671",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010090407",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "2500174",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "MILLINGTON",
"middle_name": "B",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.