Individual provider Active NPI

Robert F Miller, PHD

  • Psychologist
  • Carrollton, OH
National Provider Identifier
1275740680
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6424 Issued in OH
Practice address
1196 Kensington Rd NE
Carrollton, OH 44615-9763
Phone
(330) 575-5364
Fax
(330) 627-4076
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6424 OH Primary
Social Worker 104100000X S. 0017766 OH
Professional Counselor 101YP2500X E-1959 OH

Addresses

Primary practice location

1196 Kensington Rd NE
Carrollton, OH 44615-9763

Mailing address

1191 Chase Rd SE
Carrollton, OH 44615-9619
Phone (330) 575-5364

Other identifiers 1

IdentifierTypeStateIssuer
3000666MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090831000153 OH Practitioner - Clinical Psychologist 7911052774 Practice locations: Carrollton, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1196 Kensington Rd NE
Carrollton, OH 44615-9763
Phone (330) 575-5364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E-1959OHMDProfessional Counselor
S. 0017766OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Connection Counseling, Inc. PastSince Oct 3, 2004 Accepting new patients
Hospice of Tuscarawas County, Inc PastSince Jan 27, 2023 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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1275740680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 CHASE RD SE",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159619",
            "telephone_number": "330-575-5364",
            "fax_number": "330-627-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 KENSINGTON RD NE",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159763",
            "telephone_number": "330-575-5364",
            "fax_number": "330-627-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6424",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S. 0017766",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-1959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, OH

Sources for this page

Verify at the official NPI Registry.