Active NPI
Robert F Miller, PHD
- Psychologist
- Carrollton, OH
National Provider Identifier
1275740680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6424
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000666 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| E-1959 | OH | MD | Professional Counselor |
| S. 0017766 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Connection Counseling, Inc. | Past | Accepting new patients | |
| Hospice of Tuscarawas County, Inc | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.