Pamela Miller PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1394 Issued in OR

Legal business name

PAMELA MILLER PHD PC

Practice address

321 W 4TH St
The Dalles, OR 97058-1807

Phone

(541) 298-3294

Fax

(541) 298-3294

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Gail Miller, PHDNPI 1851434823

Title

Clinical Psychologist

Phone

(541) 298-3294

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Miller, PHD

  • Clinical Psychologist
  • The Dalles, OR
  • NPI 1851434823
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1013991405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W 4TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581807",
            "telephone_number": "541-298-3294",
            "fax_number": "541-298-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W 4TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581807",
            "telephone_number": "541-298-3294",
            "fax_number": "541-298-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MILLER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-298-3294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500603652",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA6080",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.