Active NPI
Lauren Miller, PHD
- Forensic Psychologist
- Bridgewater, MA
National Provider Identifier
1043700289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 9480
- Practice address
- 20 Administration Rd
Bridgewater, MA 02324-3230 - Phone
- (508) 279-4500
- NPI assigned
- May 14, 2018
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 9480 | MA | Primary |
Addresses
Primary practice location
20 Administration Rd
Bridgewater, MA 02324-3230
Mailing address
111 Fitzroy Dr Ste 426
Hingham, MA 02043-1657
Phone (847) 372-1387
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9480 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1043700289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FITZROY DR STE 426",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020431657",
"telephone_number": "847-372-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ADMINISTRATION RD",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243230",
"telephone_number": "508-279-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "9480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.