John S Miller, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14926 Issued in CA

Practice address

2055 Anderson Rd
Davis, CA 95616-0672

Phone

(530) 758-1580

Fax

(530) 758-9869

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stewart E Teal Eva Peters Hunting & Jerry L Plummer PTR

  dba Omnibus

  • Group Psychotherapy Psychologist
  • Davis, CA
  • NPI 1295738755
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1003819566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170483",
            "telephone_number": "530-758-1580",
            "fax_number": "530-758-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 ANDERSON RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160672",
            "telephone_number": "530-758-1580",
            "fax_number": "530-758-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14926",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY14926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ema Jean Miille
• Rosemary Claire Miles, LMFT LIC MARRIAGE FA
• Michaela Lambert Milhous, CNM, WHNP
• John Travis Millard, FNP
• Aaron Mikkelson Miller, N.P.
• Katherine Comingore Miller, L.C.S.W.
• Michelle D. Miller, D.D.S.
• Robert Bruce Miller, MD
• Ryann Miller, R.D.
• William Frank Miller, CRNA

• Clinical Psychologist in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.