Active NPI
Linda Louise Miller, MA LP
- Clinical Psychologist
- Shakopee, MN
National Provider Identifier
1003917022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP1267
- Practice address
- 327 S Marschall Rd
Suite 250
Shakopee, MN 55379-2666 - Phone
- (651) 769-6500
- Fax
- (651) 769-6549
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP1267 | MN | Primary |
Addresses
Primary practice location
327 S Marschall Rd
Suite 250
Shakopee, MN 55379-2666
Mailing address
2497 7TH Ave E
Suite 101
North St Paul, MN 55109-2496
Phone (651) 769-6437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1267 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhsi, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- North Saint Paul, MN
- NPI 1174635643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003917022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2497 7TH AVE E",
"address_2": "SUITE 101",
"city": "NORTH ST PAUL",
"state": "MN",
"postal_code": "551092496",
"telephone_number": "651-769-6437",
"fax_number": "651-769-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 S MARSCHALL RD",
"address_2": "SUITE 250",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792666",
"telephone_number": "651-769-6500",
"fax_number": "651-769-6549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LINDA",
"middle_name": "LOUISE",
"credential": "MA LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.