Andrea E. Miller-Bruce, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003189 Issued in GA

Practice address

805 Church St
Decatur, GA 30030-1870

Phone

(404) 354-4112

Fax

(404) 377-6798

NPI assigned

May 11, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Susan McCarthy Furman, PH.D., LLC

  • Psychologist
  • Decatur, GA
  • NPI 1982749107
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1093033375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2851",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300312851",
            "telephone_number": "404-354-4112",
            "fax_number": "404-377-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301870",
            "telephone_number": "404-354-4112",
            "fax_number": "404-377-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-BRUCE",
        "first_name": "ANDREA",
        "middle_name": "E.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "003189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH:",
            "identifier": "12018036",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milestone Family Medicine
• Milestone Pediatrics and Family Medicine
• Milestone Pediatrics LLC
• Millennium Health Partners, LLC
• Tonya Miller Roberts, PSYD
• Amber Miller, MT-BC, LPMT
• Amy Miller, MD
• Anna Grace Miller
• Audrey Miller
• Bethany Miller, LCSW, MSW

• Psychologist in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.