Individual provider Active NPI

Adalis Maria Millan-Colon, MD

  • Child & Adolescent Psychiatry Physician
  • Poughkeepsie, NY
National Provider Identifier
1942486949
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
245400 Issued in NY
Practice address
46 Lincoln Ave
Poughkeepsie, NY 12601-4518
Phone
(845) 471-6004
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 245400 NY
Child & Adolescent Psychiatry Physician 2084P0804X 245400 NY Primary

Addresses

Primary practice location

46 Lincoln Ave
Poughkeepsie, NY 12601-4518

Mailing address

205 South Ave
Poughkeepsie, NY 12601-4818
Phone (845) 554-1365

Other practice location 1

205 South Ave
Poughkeepsie, NY 12601-4818
Phone (845) 554-1365

Other practice location 2

131 N Midland Ave
Nyack, NY 10960-1911
Phone (845) 405-4146

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
245400NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1942486949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SOUTH AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014818",
            "telephone_number": "845-554-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 LINCOLN AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014518",
            "telephone_number": "845-471-6004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 South Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014818",
            "country_code": "US",
            "telephone_number": "845-554-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 N Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601911",
            "country_code": "US",
            "telephone_number": "845-405-4146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAN-COLON",
        "first_name": "ADALIS",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "245400",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "245400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.