MICHAEL D MCMILLAN (NPI# 1477642239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477642239 |
| Entity Type | Individual |
| Full Name | MICHAEL D MCMILLAN |
| Credential | PHD |
| Practice Address |
22201 Moross Rd 270 Detroit MI 48236-2169 |
| Mailing Address |
43800 Garfield Rd Clinton Twp MI 48038-1136 |
| Practice Telephone | 3133433481 |
| Practice Fax Number | 3133437937 |
| Mailing Telephone | 3133433481 |
| Mailing Fax Number | 3133437937 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301002599 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS GROUP | 0H208910 | 01 |
| MI | BLUE CROSS | 0H260650 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962516617 | Michael Dean Mcmillan | Physician Assistant | 1901 E. First Street, Temple, TX 76504 | 2006-08-19 |
| 1700886025 | Michael Mcmillan | Specialist/Technologist | 1268 E 32nd St, Silver City, NM 88061-7229 | 2005-07-28 |
| 1669828448 | Michael Mcmillan | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4917 | 2016-05-10 |
| 1942630298 | Michael Harold Mcmillan | Dentist | 4215 Del Prado Blvd S, Cape Coral, FL 33904-7167 | 2013-11-24 |
| 1700145307 | Michael Mcmillan | Orthotist | 2502 W Ohio Ave, Midland, TX 79701-5848 | 2012-05-16 |
| Street Address |
22201 MOROSS RD 270 |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760688 | Henry Grady Bone IIi | Internal Medicine | 22201 Moross Rd, Ste 260, Detroit, MI 48236-2175 | 2005-06-16 |
| 1790302396 | Zoheb Backer | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-30 |
| 1003432816 | Keerthana Reddy Banala | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 80, Detroit, MI 48236 | 2020-06-18 |
| 1013533918 | Sajithaa Varadarasa | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-17 |
| 1578188918 | Rida Jamal | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Detroit, MI 48236 | 2020-06-11 |
| 1669097952 | Inderpal Singh | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-11 |
| 1376168732 | Mehdi Yavari | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Detroit, MI 48236 | 2020-06-11 |
| 1548884414 | Krishna Chandra Mahat | Student in an Organized Health Care Education/Training Program | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-05 |
| 1508358540 | Vito Saracino | Internal Medicine | 22201 Moross Rd, Detroit, MI 48236-2169 | 2018-06-05 |
| 1457880718 | Marco Antonio Martinez | Obstetrics & Gynecology | 22201 Moross Rd, Suite 370, Detroit, MI 48236 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942570551 | Latanya Denise Gater | Psychologist | 15818 Tuller St, Detroit, MI 48238-1240 | 2012-01-12 |
| 1174735286 | Staci Hirsch | Psychologist | 5470 Chene Street, Detroit, MI 48211 | 2007-05-03 |
| 1780232835 | Jamie Lee Ann Douglas | Psychologist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-09-02 |
| 1447731690 | Sarah Wilhoit | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2018-08-26 |
| 1437664786 | Laura Gilboe | Psychologist | 7310 Woodward Ave, Detroit, MI 48202-3165 | 2017-12-08 |
| 1780130278 | Jenna Jones | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2016-08-25 |
| 1306204847 | Chelsey Esser | Psychologist | 20303 Kelly Rd, Detroit, MI 48225-1206 | 2016-01-28 |
| 1437529617 | Jasmine Jones | Psychologist | 15766 Whitcomb St, Detroit, MI 48227-2667 | 2015-10-01 |
| 1679950067 | Tyler Arban | Psychologist | 17321 Telegraph Rd, Detroit, MI 48219-3132 | 2015-05-05 |
| 1467872713 | Elan Dawson | Psychologist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2014-04-24 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MICHAEL D MCMILLAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.