Active NPI
John T Miele, PHD LLC
- Clinical Psychologist
- Livingston, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- JOHN T MIELE, PHD LLC
- Practice address
- 301 S Livingston Ave
Suite 202 (Acap)
Livingston, NJ 07039-3932 - Phone
- (973) 464-9639
- NPI assigned
- May 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Miele
- Title
- Clinical Psychologist
- Phone
- (973) 464-9639
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
301 S Livingston Ave
Suite 202 (Acap)
Livingston, NJ 07039-3932
Mailing address
112 Dulles Drive
Dumont, NJ 07628-3620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03288406 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- John T Miele PHD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Fort Lee, NJ
- NPI 1154747582
Locations
301 S Livingston Ave
Ste 202
Livingston, NJ 07039
Phone (201) 788-7538
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Livingston, NJ
- NPI 1821217340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1083907901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 DULLES DRIVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076283620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S LIVINGSTON AVE",
"address_2": "SUITE 202 (ACAP)",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070393932",
"telephone_number": "973-464-9639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN T MIELE, PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-25",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "MIELE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "973-464-9639"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03288406",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.