ILAN MILLSTROM RN
NPI 1932900396
Nurse Practitioner - Psychiatric/Mental Health in Charlestown, MA

Active since March 21, 2025
2 CONSTITUTION PLZ, CHARLESTOWN, MA 02129(617) 724-9852 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ilan Millstrom Rn NPPES

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

ILAN MILLSTROM RN (NPI 1932900396) is an individual psychiatric/mental health provider in Charlestown, Massachusetts, licensed in Massachusetts (RN2391393) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1932900396
Entity TypeIndividual
Primary Taxonomy363LP0808X
Provider Legal NameILAN MILLSTROMCredential: RN
Location Address2 CONSTITUTION PLZCharlestown, MA 02129-2021
Mailing AddressPo Box 440031Somerville, MA 02144-0001 · (646) 450-2495
Sole ProprietorYes
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1932900396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2391393
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2391393 (MA)
2 CONSTITUTION PLZ, Charlestown, MA 02129

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 Ilan Millstrom's NPI number?

The NPI number for Ilan Millstrom is 1932900396. It was assigned to this individual provider in the NPPES registry on March 21, 2025.

Where is Ilan Millstrom located?

Ilan Millstrom practices at 2 Constitution Plz, Charlestown, MA 02129. The listed phone number is (617) 724-9852.

What is Ilan Millstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ilan Millstrom was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.