Active NPI
D Ross Miller, PHD
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1043324940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2393
- Practice address
- 8140 N Mopac 2 200
Austin, TX 78759 - Phone
- (512) 346-2332
- Fax
- (512) 346-2284
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- 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 | 2393 | TX | Primary |
Addresses
Primary practice location
8140 N Mopac 2 200
Austin, TX 78759
Mailing address
8140 N Mopac 2 200
Austin, TX 78759
Phone (512) 346-2332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033174601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110204000459 | TX | Practitioner - Clinical Psychologist | 4880710060 | Practice locations: Austin, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Geisel School of Medicine at Dartmouth, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8140 N Mo Pac Expy
Suite 200
Austin, TX 78759-8860
Phone (512) 346-2332
8140 N Mopac
2 200
Austin, TX 78759-8860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22393 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janice M Morris PHD PC | 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
- Austin, TX
- NPI 1689963167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1043324940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8140 N MOPAC 2 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-346-2332",
"fax_number": "512-346-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8140 N MOPAC 2 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-346-2332",
"fax_number": "512-346-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "D",
"middle_name": "ROSS",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033174601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.