Active NPI
Dixon H Miller, PH.D.
- Clinical Neuropsychologist
- Lancaster, PA
National Provider Identifier
1164645875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS004228L
- Practice address
- 1817 Olde Homestead LN
Suite 201
Lancaster, PA 17601-6751 - Phone
- (717) 394-3466
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS004228L | PA | Primary |
Addresses
Primary practice location
1817 Olde Homestead LN
Suite 201
Lancaster, PA 17601-6751
Mailing address
1817 Olde Homestead LN
Suite 201
Lancaster, PA 17601-6751
Phone (717) 394-3466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Success Rehabilitation, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Quakertown, PA
- NPI 1376759902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164645875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 OLDE HOMESTEAD LN",
"address_2": "SUITE 201",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016751",
"telephone_number": "717-394-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 OLDE HOMESTEAD LN",
"address_2": "SUITE 201",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176016751",
"telephone_number": "717-394-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DIXON",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS004228L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.