Active NPI
Daniel Miller
- Clinical Child & Adolescent Psychologist
- Klamath Falls, OR
National Provider Identifier
1245616739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 121 Iowa St
Klamath Falls, OR 97601-1606 - Phone
- (541) 281-1565
- NPI assigned
- Aug 6, 2015
- 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 Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
121 Iowa St
Klamath Falls, OR 97601-1606
Mailing address
5472 Glenridge Way
Klamath Falls, OR 97603-3970
Phone (541) 281-1565
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1245616739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5472 GLENRIDGE WAY",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976033970",
"telephone_number": "541-281-1565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 IOWA ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976011606",
"telephone_number": "541-281-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.