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DR. JACQUELYN D MILLHAM PH.D.
NPI 1215118385
Psychologist - Clinical in Pasadena, CA

Active since November 17, 2007Opted out of Medicare · through Jan 1, 2027
181 N OAK KNOLL AVE, SUITE 1, PASADENA, CA 91101(626) 796-7495(626) 796-4447 Get Directions Write a Review

NPPES record last updated: November 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacquelyn D Millham Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELYN D MILLHAM PH.D. (NPI 1215118385) is an individual clinical provider in Pasadena, California, licensed in California (PSY20029) and active in the NPI registry since November 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215118385
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACQUELYN D MILLHAMCredential: PH.D.
Location Address181 N OAK KNOLL AVE, SUITE 1Pasadena, CA 91101-4170
Mailing Address181 N Oak Knoll Ave, Suite 1Pasadena, CA 91101-4170 · (626) 796-7495 · Fax (626) 796-4447
Phone(626) 796-7495
Fax(626) 796-4447
Sole ProprietorYes
Enumeration DateNovember 17, 2007
✔ NPI 1215118385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY20029
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
181 N OAK KNOLL AVE, Pasadena, CA 91101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacquelyn D Millham Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2015 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2015
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROY KUSHEL M.D.
Psychiatry & Neurology (Psychiatry)
181 N OAK KNOLL AVE
PASADENA, CA 91101
Los Angeles County (626) 793-1214
DR. MARY KATHRYN ROTZIEN PH.D.
Psychologist (Clinical)
181 N OAK KNOLL AVE, SUITE THREE
PASADENA, CA 91101
Los Angeles County (626) 796-7511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Millham's NPI number?

The NPI number for Jacquelyn Millham is 1215118385. It was assigned to this individual provider in the NPPES registry on November 17, 2007.

Where is Jacquelyn Millham located?

Jacquelyn Millham practices at 181 N Oak Knoll Ave Suite 1, Pasadena, CA 91101. The listed phone number is (626) 796-7495.

What is Jacquelyn Millham's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacquelyn Millham enrolled in Medicare?

No. Jacquelyn Millham has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacquelyn Millham was last updated on November 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.