Active NPI
Constantina Miller, PSY.D.
- School Psychologist
- Islandia, NY
National Provider Identifier
1235405838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0138941
- Practice address
- 299 Sycamore LN
Islandia, NY 11749-1586 - Phone
- (631) 348-5109
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0138941 | NY | Primary |
Addresses
Primary practice location
299 Sycamore LN
Islandia, NY 11749-1586
Mailing address
299 Sycamore Ave
A. T. Morrow School
Islandia, NY 11749-1742
Phone (631) 348-5109
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0138941 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1235405838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 SYCAMORE AVE",
"address_2": "A. T. MORROW SCHOOL",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491742",
"telephone_number": "631-348-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 SYCAMORE LN",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491586",
"telephone_number": "631-348-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CONSTANTINA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "0138941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.