Individual provider Active NPI

H Joseph Miller, PHD

  • Cognitive & Behavioral Psychologist
  • Leonardtown, MD
National Provider Identifier
1265487888
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
00646 Issued in MD
Practice address
41900 Fenwick St
Suite 1
Leonardtown, MD 20650-3813
Phone
(301) 475-9660
Fax
(301) 475-8810
NPI assigned
May 23, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 00646 MD Primary

Addresses

Primary practice location

41900 Fenwick St
Suite 1
Leonardtown, MD 20650-3813

Mailing address

41900 Fenwick St
Suite 1
Leonardtown, MD 20650-3813
Phone (301) 475-9660

Other identifiers 12

IdentifierTypeStateIssuer
1020836OtherMDALLIANCE
B9500002OtherMDBCBS FEDERAL
1020836OtherMDMAMSI
1020836OtherMDMDIPA
1020836OtherMDOPTIMUM CHOICE
517B 34231007OtherMDBCBS
PVPB105466OtherMDAPS
1020836OtherMDGEHA
7257009OtherMDAETNA
B9500002OtherMDBLUE CHOICE
097444OtherMDMHN
B9500002OtherMDBCBS NCA

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

State licenses

LicenseStateTypeSpecialty
00646MDMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services Center, LLC PastSince Jan 1, 2005 Accepting new patients
Everly, Hildreth & Platman Behavioral Services, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1265487888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST",
            "address_2": "SUITE 1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503813",
            "telephone_number": "301-475-9660",
            "fax_number": "301-475-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 FENWICK ST",
            "address_2": "SUITE 1",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503813",
            "telephone_number": "301-475-9660",
            "fax_number": "301-475-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "H",
        "middle_name": "JOSEPH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MD",
            "license": "00646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "1020836",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "B9500002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "1020836",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "1020836",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "1020836",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "517B 34231007",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "PVPB105466",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "1020836",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7257009",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "B9500002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "097444",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NCA",
            "identifier": "B9500002",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.