CARLENE M MACMILLAN (NPI# 1689801417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689801417 |
| Entity Type | Individual |
| Full Name | CARLENE M MACMILLAN |
| Credential | M.D. |
| Practice Address |
88 N 1st St #15 Brooklyn NY 11249-3936 |
| Mailing Address |
154 N 9th St Rear House Brooklyn NY 11249-1976 |
| Practice Telephone | 9292276577 |
| Mailing Telephone | 9292276577 |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
278517 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
248958 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
278517 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
248958 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110094989A | 05 |
| Street Address |
88 N 1ST ST #15 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11249-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612007 | Alexandra Jacowitz | Psychologist | 88 N 1st St, Brooklyn, NY 11249-3936 | 2018-03-15 |
| 1992249098 | Brooklyn Minds Psychiatry, P.C. | Psychiatry & Neurology | 88 N 1st St, #15, Brooklyn, NY 11249-3936 | 2016-12-07 |
| 1720372667 | Owen Scott Muir | Psychiatry & Neurology | 88 N 1st St, #15, Brooklyn, NY 11249-3936 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1184186496 | Oda Primary Health Care Network, Inc. | Clinic/Center | 74 Wallabout Street, Brooklyn, NY 11249 | 2019-04-04 |
| 1164900593 | X Factor Corp | Pharmacy | 97 S 3rd St # 99, Brooklyn, NY 11249 | 2018-07-28 |
| 1417469933 | Aida Arroyo | Registered Nurse | 121 Wilson Street, 21c, Brooklyn, NY 11249 | 2017-10-25 |
| 1295245686 | Weronika Wlodarczyk | Chiropractor | 111 N 7th Street, Brooklyn, NY 11249 | 2017-10-11 |
| 1477972503 | Marilyn Lizardo | Specialist | 43 South 9th Street, Brooklyn, NY 11249 | 2014-04-16 |
| 1144573072 | Home Meds LLC | Pharmacy | 97 S 3rd St, Brooklyn, NY 11249 | 2012-10-16 |
| 1588988711 | Richard Di Napoli | Pharmacist | 250-bedford Ave, Brooklyn, NY 11249 | 2010-03-17 |
| 1295996957 | Daniel Joseph Culliford | Psychiatry & Neurology | 184 Kent Ave Apt B414, Brooklyn, NY 11249 | 2008-06-24 |
| 1881708642 | Excellent Home Care Services, LLC | Home Health | 91-93 South Third Street, Excellent Home Care Services, LLC, Brooklyn, NY 11249 | 2006-08-18 |
| Find all providers in zip 11249 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831598630 | Ekunke Medical,pc | Psychiatry & Neurology | 1195 Saint Marks Ave, Brooklyn, NY 11213-2433 | 2014-08-18 |
| 1447407507 | Marie D Charles | Psychiatry & Neurology | 1819 Bergen Street, Brooklyn, NY 11233 | 2008-08-20 |
| 1386834083 | Mirielle Duperval | Psychiatry & Neurology | 391 Linden Blvd, Brooklyn, NY 11203-2823 | 2007-07-28 |
| 1609955582 | Ocean Medical Health Services Inc | Psychiatry & Neurology | 2355 Ocean Avenue, Apt# 1-g, Brooklyn, NY 11229-3132 | 2006-11-03 |
| 1699853515 | Titus Babawale Okunlola | Psychiatry & Neurology | 1040 Winthrop Street, Babok Medical Health Services, Brooklyn, NY 11212-1452 | 2006-11-01 |
| 1124134770 | Idalia Cruz | Psychiatry & Neurology | 28 Debevoise St Ste 5, Brooklyn, NY 11206-4194 | 2006-08-23 |
| 1245244169 | Kathleen Malloy | Psychiatry & Neurology | 920 48th St, Brooklyn, NY 11219-2918 | 2006-07-28 |
| 1093785297 | Fahim U Qureshi | Psychiatry & Neurology | 333 St Vincent Services, Brooklyn, NY 28305-5141 | 2006-01-23 |
| 1053300129 | David G Inwood | Psychiatry & Neurology | 95 Pierrepont St, Brooklyn, NY 11201-2704 | 2005-10-20 |
| 1992249098 | Brooklyn Minds Psychiatry, P.C. | Psychiatry & Neurology | 88 N 1st St, #15, Brooklyn, NY 11249-3936 | 2016-12-07 |
| Find all providers in BROOKLYN | ||||
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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.