Active NPI
Miriam Davies, M.ED., NCSP
- Psychologist
- Ligonier, PA
National Provider Identifier
1013994037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS008125L
- Practice address
- 117 Juniper LN
Ligonier Valley Learning Center Inc
Ligonier, PA 15658-9727 - Phone
- (724) 238-5556
- Fax
- (724) 238-9533
- NPI assigned
- Dec 30, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS008125L | PA | Primary |
Addresses
Primary practice location
117 Juniper LN
Ligonier Valley Learning Center Inc
Ligonier, PA 15658-9727
Mailing address
109 S Market St
Ligonier Valley Learning Center Inc
Ligonier, PA 15658-1214
Phone (724) 238-0355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001348580007 | Medicaid | PA |
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS008125L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ligonier Valley Learning Center, Inc | Past | Accepting new patients | |
| Ligonier Valley Learning Center Inc. | Past | Accepting new patients | |
| Ligonier Valley Learning Center, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ligonier Valley Learning Center
- Community/Behavioral Health Agency
- Ligonier, PA
- NPI 1841462041
-
dba Ligonier Valley Learning Center
- Community/Behavioral Health Agency
- Ligonier, PA
- NPI 1104098300
-
dba Ligonier Valley Learning Center
- Mental Health Counselor
- Ligonier, PA
- NPI 1881680551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013994037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S MARKET ST",
"address_2": "LIGONIER VALLEY LEARNING CENTER INC",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156581214",
"telephone_number": "724-238-0355",
"fax_number": "724-238-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 JUNIPER LN",
"address_2": "LIGONIER VALLEY LEARNING CENTER INC",
"city": "LIGONIER",
"state": "PA",
"postal_code": "156589727",
"telephone_number": "724-238-5556",
"fax_number": "724-238-9533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "MIRIAM",
"name_prefix": "Ms.",
"credential": "M.ED., NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS008125L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001348580007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ligonier, PA
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.