Organization Active NPI

Penny Miller, PHD

  • Rural Acute Care Hospital
  • Coudersport, PA
National Provider Identifier
1124496351
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
PS003254-L Issued in PA
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

Updated by the provider on Sep 3, 2015

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.