Active NPI
Paul King-Miller PSYD LPCC LLC
- Prescribing (Medical) Psychologist
- Albuquerque, NM
National Provider Identifier
1245856913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- Legal business name
- PAUL KING-MILLER PSYD LPCC LLC
- Practice address
- 11216 Brentwood Hills Blvd NE
Albuquerque, NM 87112-3219 - Phone
- (505) 670-4684
- NPI assigned
- Jun 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul King-Miller, LPCC
- Title
- Oner
- Phone
- (505) 670-4684
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | Primary |
Addresses
Primary practice location
11216 Brentwood Hills Blvd NE
Albuquerque, NM 87112-3219
Mailing address
11216 Brentwood Hills Blvd NE
Albuquerque, NM 87112-3219
Phone (505) 670-4684
Other names 1
- Paul King-Miller
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Rio Rancho, NM
- NPI 1427324730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592438400000",
"number": "1245856913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11216 BRENTWOOD HILLS BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123219",
"telephone_number": "505-670-4684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11216 BRENTWOOD HILLS BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123219",
"telephone_number": "505-670-4684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL KING-MILLER PSYD LPCC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A",
"authorized_official_last_name": "KING-MILLER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "ONER",
"authorized_official_telephone_number": "505-670-4684",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paul King-Miller",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.