Organization Active NPI

David B. Miller, Psy.D., P.a.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1063695278
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PY6648 Issued in FL
Legal business name
DAVID B. MILLER, PSY.D., P.A.
Practice address
5295 Town Center Rd
Suite 401
Boca Raton, FL 33486-1080
Phone
(561) 362-3739
Fax
(561) 362-5595
NPI assigned
Dec 11, 2007
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
David B Miller, PSY.D.NPI 1902851678
Title
President/Psychologist
Phone
(561) 362-3739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PY6648 FL Primary

Addresses

Primary practice location

5295 Town Center Rd
Suite 401
Boca Raton, FL 33486-1080

Mailing address

5295 Town Center Rd
Suite 401
Boca Raton, FL 33486-1080
Phone (561) 362-3739

Other identifiers 2

IdentifierTypeStateIssuer
74496OtherFLBCBS FL
1902851678OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

5295 Town Center Rd
Ste 401
Boca Raton, FL 33486
Phone (561) 362-3739

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1063695278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 TOWN CENTER RD",
            "address_2": "SUITE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861080",
            "telephone_number": "561-362-3739",
            "fax_number": "561-362-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 TOWN CENTER RD",
            "address_2": "SUITE 401",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861080",
            "telephone_number": "561-362-3739",
            "fax_number": "561-362-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. MILLER, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-362-3739",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PY6648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "74496",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902851678",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.