TARIK MALACHI MCMILLAN (NPI# 1750896072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750896072 |
| Entity Type | Individual |
| Full Name | TARIK MALACHI MCMILLAN |
| Credential | M.S.ED. |
| Practice Address |
40 Eg Lagrange Frederiksted VI 00840 |
| Mailing Address |
Po Box 1833 Frederiksted VI 00841-1833 |
| Practice Telephone | 3403322717 |
| Mailing Telephone | 3403322717 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2-43354-1L | VI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VI | DEPARTMENT OF LICENSING AND CONSUMER AFFAIRS | 2-43354 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 44 Union Mt Washington, Christiansted, VI 008200082 | 3403322717 | 3403322717 |
| Street Address |
40 EG LAGRANGE |
| City | FREDERIKSTED |
| State | VI |
| Zip Code | 00840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210256 | Greater Changes LLC. | Counselor | 40 Eg Lagrange, Frederiksted, VI 00841-0084 | 2019-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621457 | Quantum Health Care Services, LLC | Home Health | 40 Md Lagrange, St. Croix, VI 00840 | 2020-05-19 |
| 1730700162 | Rachel's Place | Social Worker | 21 A Strand Street, Frederiksted, VI 00840 | 2020-04-27 |
| 1811430572 | Medical Health &dme Supplies | Durable Medical Equipment & Medical Supplies | Estate Concordia, #112-2, Frederiksted, VI 00840 | 2016-11-29 |
| 1831642859 | Massabesic Health Resources, Vi, PC | Clinic/Center | 127 Estate Smithfield, Frederiksted, U.S. VIRGIN ISLANDS 00840 | 2016-07-26 |
| 1073967956 | Sherishma Chantell Pennyfeather | Social Worker | 1ab Estate Whim, Frederiksted, VI 00840 | 2016-04-18 |
| 1285093906 | First Step Therapy | Rehabilitation Hospital | 47 Aa-stoney Ground, Frederiksted, VI 00840 | 2016-02-23 |
| 1235501453 | Marsha Lizette Rivera | Counselor | 254 Concordia Villas, Frederiksted, VI 00840 | 2015-10-27 |
| 1578997292 | Hercare Inc | Obstetrics & Gynecology | #1 Estate Cane Sunshine Mall, Suite 205, Frederiksted, VI 00840 | 2013-08-29 |
| 1205172376 | Myrtle Naomi Rogers | Registered Nurse | 21 Golden Grove, Frederiksted, VI 00840 | 2012-12-18 |
| 1487907192 | Ruby J Lake | Dentist | 16 Strand Street, Frederiksted, VI 00840 | 2012-10-18 |
| Find all providers in zip 00840 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235501453 | Marsha Lizette Rivera | Counselor | 254 Concordia Villas, Frederiksted, VI 00840 | 2015-10-27 |
| 1497210256 | Greater Changes LLC. | Counselor | 40 Eg Lagrange, Frederiksted, VI 00841-0084 | 2019-02-06 |
| 1821215088 | Erastus Aurelius Gardiner | Counselor | 516 Strand St, Frederiksted, VI 00840-3533 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578173373 | Buoyant Living Psychotherapy, LLC | Counselor | 32 Dronningens Gade, Suite 1, St. Thomas, VI 00802 | 2020-08-06 |
| 1386138469 | The Whyte Corporation | Counselor | 9150 Estate Thomas Ste 105, St Thomas, VI 00802-2612 | 2018-06-21 |
| 1245722669 | Berlina Wallace-berube | Counselor | 100b La Grande Princesse, Christiansted, VI 00820 | 2018-06-01 |
| 1649702374 | Barbara Mactavious | Counselor | Barbel Plaza South, The Ross Building, First Floor, St. Thomas, VI 00802 | 2017-03-31 |
| 1629524327 | Pediatrice Center for Developmental Excellence, LLC | Counselor | 79 Estate Peter's Rest, Suite 3.2, Christiansted, VI 00820 | 2016-09-01 |
| 1427265305 | Dianne Estelle Brinker | Counselor | 1138 King St, Suite 206, Christiansted, VI 00820-4943 | 2007-05-17 |
| 1760518443 | Jacqueline Lou Griffin | Counselor | 227 Golden Rock, Suite 2, Christiansted, VI 00824 | 2007-02-26 |
| 1023144870 | Vivian Celeste Crites | Counselor | 4004 Rhymer Highway, Suite 2-5 Doctor's Park II, St. Thomas, VI 00802 | 2007-02-26 |
| 1356999601 | Denise Chamblee | Counselor | 9150 Estate Thomas Ste 108, St Thomas, VI 00802-2612 | 2019-08-29 |
| 1265725055 | Bonita Marie Roy | Counselor | 9149 Estate Thomas, Paragon Medical Bldg Suite 209a, St. Thomas, VI 00802 | 2011-05-26 |
| Find all providers with the same taxonomy | ||||
| City | FREDERIKSTED |
| Zip Code | 00840 |
Please comment or provide details below to improve the information on TARIK MALACHI 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.