Individual provider Active NPI

Maria Miller

  • Clinical Psychologist
  • Wernersville, PA
National Provider Identifier
1033832753
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019923 Issued in PA
Practice address
374 Mountain Blvd
Wernersville, PA 19565-9219
Phone
(570) 561-2990
NPI assigned
Sep 20, 2022
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019923 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

374 Mountain Blvd
Wernersville, PA 19565-9219

Mailing address

140 W Germantown Pike Ste 160
Plymouth Meeting, PA 19462-1421

Other practice location 1

140 W Germantown Pike Ste 160
Plymouth Meeting, PA 19462-1421
Phone (610) 892-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807001845 PA Practitioner - Clinical Psychologist 5597126516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Healthcare SolutionsGroup PAC ID 3274830336, 107 clinicians
Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Practice addresses (Care Compare)

2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (585) 233-2817

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone (610) 272-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019923PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Willow Wellness PC CurrentSince Dec 13, 2025 Accepting new patients
Vital Healthcare Solutions CurrentSince Jul 1, 2023 Accepting new patients

Locations

2901 Jolly Rd
Plymouth Mtng, PA 19462
Phone (610) 272-3222

2395 Lancaster Pike
Fl 1
Reading, PA 19607
Phone (570) 561-2990

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1033832753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W GERMANTOWN PIKE STE 160",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 MOUNTAIN BLVD",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195659219",
            "telephone_number": "570-561-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W Germantown Pike Ste 160",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621421",
            "country_code": "US",
            "telephone_number": "610-892-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019923",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wernersville, PA

Sources for this page

Verify at the official NPI Registry.