KEISHA RENEE MCMILLAN (NPI# 1538399456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538399456 |
| Entity Type | Individual |
| Full Name | KEISHA RENEE MCMILLAN |
| Practice Address |
1219 Rockingham Rd Suite 12 Rockingham NC 28379-4983 |
| Practice Telephone | 9109979271 |
| Practice Fax Number | 9109979274 |
| Mailing Telephone | 9109979271 |
| Mailing Fax Number | 9109979274 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
1219 ROCKINGHAM RD SUITE 12 |
| City | ROCKINGHAM |
| State | NC |
| Zip Code | 28379-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043329691 | Patrick Eyaye Egbe | Pediatrics | 1219 Rockingham Rd, Suite 7, Rockingham, NC 28379-4925 | 2006-08-29 |
| 1609218577 | Foundation of Life Services | Community/Behavioral Health | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2013-07-21 |
| 1700187242 | Esteem Family Life Center LLC | Case Management | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2010-11-16 |
| 1124347984 | Shamsul Alam Khan | Pediatrics | 1219 Rockingham Rd, Suite#3, Rockingham, NC 28379-4983 | 2010-05-19 |
| 1629301122 | Education 1st Academy LLC | Community/Behavioral Health | 1219 Rockingham Rd, Ste 6, Rockingham, NC 28379-4983 | 2009-09-15 |
| 1043453061 | Gerard A. Catapano | Family Medicine | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2009-04-07 |
| 1891947560 | Esteem Family Life Center LLC | Community/Behavioral Health | 1219 Rockingham Rd, Suite 10, Rockingham, NC 28379-4925 | 2008-10-14 |
| 1770766735 | Southeastern Health Care Services, LLC | Nursing Care | 1219 Rockingham Rd, Suite 1, Rockingham, NC 28379-4983 | 2007-12-13 |
| 1205960291 | Towergate Youth and Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1219 Rockingham Rd, Rockingham, NC 28379-4983 | 2007-03-14 |
| 1497857833 | Divine Koncepts, Inc | Community Based Residential Treatment Facility, Mental Illness | 1219 Rockingham Rd, Suite 12, Rockingham, NC 28379-4983 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
| 1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
| 1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
| 1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
| 1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
| Find all providers in zip 28379 | ||||
| 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 |
|---|---|---|---|---|
| 1043831639 | Elizabeth A Derouin | Psychologist | 422 W 9th St, Newton, NC 28658-3819 | 2020-05-05 |
| 1497397673 | Sheltia Powell | Psychologist | 1400 E Cornwallis Rd, Durham, NC 27713-3457 | 2019-10-09 |
| 1154796480 | Kerri Wright | Psychologist | 7206 Courtney Pines Rd, Wilmington, NC 28411-7076 | 2015-12-11 |
| 1780053223 | Susan Lynn Moschos | Psychologist | 249 Tobacco Farm Way, Chapel Hill, NC 27516-8420 | 2015-09-15 |
| 1720454549 | Jessica Boisjoli Leboeuf | Psychologist | 824 Historian St, Raleigh, NC 27603-3489 | 2015-08-16 |
| 1275958399 | Matthews Psychological and Family Services, Pllc | Psychologist | 1811 Sardis Road North, Suite 207, Charlotte, NC 28270 | 2014-02-26 |
| 1740543032 | Bindiya Shajith | Psychologist | 300 Asheville Ave, Suite # 240, Cary, NC 27518-8682 | 2012-06-21 |
| 1144589623 | Lara E. Gerrard, Ma, Lpa Psychoeducational Evaluations | Psychologist | 668 N Spence Ave, Goldsboro, NC 27534-4233 | 2012-05-03 |
| 1295003002 | Linda Peer Fleming | Psychologist | 108-d West Firetower Rd., Teacch South Hall Professional Center, Winterville, NC 28590 | 2011-12-07 |
| 1508165986 | The G.l.u. Club, LLC | Psychologist | 9156 Eventine Ct, Charlotte, NC 28214-9323 | 2011-03-24 |
| Find all providers with the same taxonomy | ||||
| City | ROCKINGHAM |
| Zip Code | 28379 |
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| 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.