Provider Demographics
NPI:1275531089
Name:MILLS, CHRISTOPHER JAMES (SCD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:MILLS
Suffix:
Gender:M
Credentials:SCD
Other - Prefix:DR
Other - First Name:CHRISTOPHER
Other - Middle Name:JAMES
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:6567 E CARONDELET DR STE 305
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-6160
Mailing Address - Country:US
Mailing Address - Phone:520-881-8400
Mailing Address - Fax:520-333-4180
Practice Address - Street 1:1846 E INNOVATION PARK DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1963
Practice Address - Country:US
Practice Address - Phone:520-333-7190
Practice Address - Fax:520-333-4180
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X, 174400000X, 103T00000X
AZ0287246ZC0007X
AZ00522084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ9010389729OtherHUMANA
FLA876798OtherCIGNA
AZM23756398ZOtherBLUECROSS/BLUESHIELD OF AZ
FLF2894756398OtherFLORIDA BLUE
AZ7456298DOtherUNITED HEALTHCARE HMO