Maria D. Milillo, PH.D. PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0579 Issued in MN

Legal business name

MARIA D. MILILLO, PH.D. PA

Practice address

15 Groveland Ter
201
Minneapolis, MN 55403-1154

Phone

(612) 879-0414

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Maria Milillo, PH.D.

Title

President

Phone

(612) 879-0414

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 4

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

• Lani T Bennett, PH. D.

  • Psychologist
  • Minneapolis, MN
  • NPI 1760609630
  NPD (past)
• Leni De Mik, PHD

  • Clinical Psychologist
  • Minneapolis, MN
  • NPI 1306962998
  NPD (past)
• Andrea Susan Larsen, PHD

  • Psychologist
  • Minneapolis, MN
  • NPI 1811050248
  NPD (past)
• Doris Anne Read, PH.D

  • Clinical Psychologist
  • NPI 1710190913
  NPD (past)

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1922285196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8183 JULIANNE TER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554273928",
            "telephone_number": "612-879-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GROVELAND TER",
            "address_2": "201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554031154",
            "telephone_number": "612-879-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA D. MILILLO, PH.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "MILILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-879-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942747300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57648MI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Rice, MD, PA
• Melanie Margenau, DPT
• Matthew Marggraf, PHD
• Karen L Margolis, MD
• Marcia Kastner Margolis, PT
• Allison Hickey Mariani, M.D.
• Katherine Ann Marichal, MD
• Charlotte S Marien, LPCC
• Christine Marier, RN
• Marigold Professional Service Corporation

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

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