Active NPI
Sara M. Mills, PSYD
- Psychologist
- Cincinnati, OH
National Provider Identifier
1982826889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5974
- Practice address
- 3200 Linwood Avenue
Cincinnati, OH 45226 - Phone
- (513) 305-7781
- Fax
- (513) 871-2888
- NPI assigned
- May 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5974 | OH | Primary |
| Psychologist | 103T00000X | 1288 | KY |
Addresses
Primary practice location
3200 Linwood Avenue
Cincinnati, OH 45226
Mailing address
3200 Linwood Avenue
Cincinnati, OH 45226
Phone (513) 305-7781
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5974 | OH | MD | Psychologist |
| 1288 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | Past | Accepting new patients | |
| The Counseling Source, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1700841244
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covington, KY
- NPI 1578527610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982826889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 LINWOOD AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45226",
"telephone_number": "513-305-7781",
"fax_number": "513-871-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 LINWOOD AVENUE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45226",
"telephone_number": "513-305-7781",
"fax_number": "513-871-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "SARA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5974",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "1288",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.