Stephanie Miles

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

5 Dowd Cir
Pinehurst, NC 28374-7932

Phone

(910) 295-2609

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

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.

• County of Tuolumne

  • Community/Behavioral Health Agency
  • Sonora, CA
  • NPI 1366618035
  NPD (past)
• County of Tuolumne

  • Community/Behavioral Health Agency
  • Sonora, CA
  • NPI 1417502188
  NPD (past)
• Victor Community Support Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Stockton, CA
  • NPI 1932251980
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2024.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1124687041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 KERSHAW LOOP",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283148913",
            "telephone_number": "714-615-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DOWD CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747932",
            "telephone_number": "910-295-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michalak, M.D.
• Mid Carolina Urology, PA
• Mid-South Orthopaedic,PA
• Talequea Shante Midgette
• Angela Rachelle Miedema, PA-C
• Ronald Milewski, MD
• Michael Alan Millard, MD
• Diana M. Miller, MPH, RD, LDN, CLC
• Jacqueline Cook Miller, COTA/L
• Russell Raymond Miller III, M.D.

• All providers in Pinehurst, NC
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.