Individual provider Active NPI

Danny Miller

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, OH
National Provider Identifier
1215414628
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0033633 Issued in OH
Practice address
14837 Detroit Ave # 193
Lakewood, OH 44107-3909
Phone
(216) 302-4077
NPI assigned
Jul 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24502 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0033633 OH Primary
Family Nurse Practitioner 363LF0000X APRN11014425 FL
Family Nurse Practitioner 363LF0000X 24502 TN

Addresses

Primary practice location

14837 Detroit Ave # 193
Lakewood, OH 44107-3909

Mailing address

850 Euclid Ave Ste 819
Cleveland, OH 44114-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727002247 OH Practitioner - Nurse Practitioner 0143564252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Behavioral Health LLCGroup PAC ID 4385000587, 6 clinicians

Practice addresses (Care Compare)

14837 Detroit Ave
Suite 193
Lakewood, OH 44107-3909
Phone (216) 302-4077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11014425FLMDFamily Nurse Practitioner
24502TNMDFamily Nurse Practitioner
0033633OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Wellness Institute, LLC CurrentSince Jul 13, 2023 Accepting new patients
Cornerstone Behavioral Health LLC CurrentSince Jul 13, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

780 E 185th St
Ste 819
Cleveland, OH 44119

780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077

14837 Detroit Ave
Lakewood, OH 44107
Phone (216) 952-1490

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1215414628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 EUCLID AVE STE 819",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14837 DETROIT AVE # 193",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073909",
            "telephone_number": "216-302-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANNY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24502",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0033633",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.