Glenn Elliott Miller, M.D.

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

G54401 Issued in CA

Practice address

629 State St Ste 245
Santa Barbara, CA 93101-7074

Phone

(805) 965-4005

Fax

(805) 965-8186

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1265650196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 STATE ST STE 245",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017074",
            "telephone_number": "805-965-4005",
            "fax_number": "805-965-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 STATE ST STE 245",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017074",
            "telephone_number": "805-965-4005",
            "fax_number": "805-965-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GLENN",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "G54401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Deanne Miller
• Christopher Allan Miller, M.D.
• Dori Lynn Miller
• Dorothy Diane Miller
• Gabriel Tlaciel Miller
• Jennifer Mary Miller, LMFT
• Kelli J Miller, M.D.
• Kevin Thomas Miller, D.D.S.
• Kristen Miller, MA, LMFT
• Matthew Ryan Miller, NP

• Psychosomatic Medicine Physician in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Psychosomatic Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.