Provider Demographics
NPI:1578556882
Name:MILLIAN, NANCY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:MILLIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 POMPERAUG OFFICE PARK
Mailing Address - Street 2:STE 206
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2291
Mailing Address - Country:US
Mailing Address - Phone:203-797-1855
Mailing Address - Fax:
Practice Address - Street 1:2 POMPERAUG OFFICE PARK
Practice Address - Street 2:STE 206
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2291
Practice Address - Country:US
Practice Address - Phone:203-797-1855
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1312103T00000X
NY15004103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02228875Medicaid
NY108402OtherEMPIRE BC
P367371OtherOXFORD
108402OtherTRICARE
417629OtherMVP
060001312CT08OtherANTHEM BCBS
101554000OtherMAGELLAN
NY101554000OtherAETNA US HEALTHCARE
060001312CT02OtherANTHEM BCBS
CT108402OtherHEALTHNET
80170OtherMHN
CT004069910Medicaid
NY080170OtherHEALTHNET
CT2701783OtherAETNA US HEALTHCARE