Active NPI
Penny Miller, PHD
- Rural Acute Care Hospital
- Coudersport, PA
National Provider Identifier
1124496351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- License
- PS003254-L
- Legal business name
- PENNY MILLER, PHD
- Practice address
- 73 Elk St
Coudersport, PA 16915-9601 - Phone
- (814) 274-8346
- NPI assigned
- Sep 3, 2015
- 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
- Dr. Penny Jean Miller, PHD
- Title
- Clinical Psychologist
- Phone
- (814) 274-8346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | PS003254-L | PA | Primary |
Addresses
Primary practice location
73 Elk St
Coudersport, PA 16915-9601
Mailing address
73 Elk St
Coudersport, PA 16915-9601
Phone (814) 274-8346
Other names 1
- Access Mediation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441238400000",
"number": "1124496351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 ELK ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169159601",
"telephone_number": "814-274-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 ELK ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169159601",
"telephone_number": "814-274-8346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNY MILLER, PHD",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "PENNY",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "814-274-8346",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "PA",
"license": "PS003254-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Access Mediation",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Coudersport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.