Active NPI
Matthew Milano, PH.D.
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1982063830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1000562
- Practice address
- 11350 Random Hills Rd
Suite 800
Fairfax, VA 22030-6044 - Phone
- (202) 759-2215
- NPI assigned
- Feb 21, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 1000562 | DC | Primary |
Addresses
Primary practice location
11350 Random Hills Rd
Suite 800
Fairfax, VA 22030-6044
Mailing address
13008 Red Admiral PL
Fairfax, VA 22033-3700
Phone (202) 759-2215
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000562 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1982063830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13008 RED ADMIRAL PL",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333700",
"telephone_number": "202-759-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11350 RANDOM HILLS RD",
"address_2": "SUITE 800",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306044",
"telephone_number": "202-759-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILANO",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-21",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "1000562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.