Jennifer Ivy Millman

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

65 Burtis St
Lynbrook, NY 11563-1301

Phone

(516) 376-5205

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1972388742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BURTIS ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631301",
            "telephone_number": "516-376-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BURTIS ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631301",
            "telephone_number": "516-376-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "JENNIFER",
        "middle_name": "IVY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Met Isle Prosthetics and Orthotics
• Midway Optics LTD
• Mary Mileo
• Milin Acupuncture PC
• Ruth Ann Militrano, LMHC
• Mind Meets Movement Counseling Services, PLLC (Katiuscia Gray, LCSW)
• Noemi Miranda
• Mary Lynne Mirville, LPN
• Jason Misher, MD
• Sara Modenessi, LPN

• Cognitive & Behavioral Psychologist in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.