Organization Active NPI

David E. Miller, PH.D., Inc.

  • Family Psychologist
  • Reynoldsburg, OH
National Provider Identifier
1285760470
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
PSYCHOLOGIST #3589 Issued in OH
Legal business name
DAVID E. MILLER, PH.D., INC.
Practice address
7664 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158
Phone
(614) 863-4125
Fax
(614) 863-4040
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. David Eugene Miller, PH.D.
Title
Psychologist
Phone
(614) 863-4120

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSYCHOLOGIST #3589 OH
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X PSYCHOLOGIST #3589 OH
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PSYCHOLOGIST #3589 OH
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X PSYCHOLOGIST #3589 OH
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X PSYCHOLOGIST #3589 OH Primary

Addresses

Primary practice location

7664 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158

Mailing address

7664 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158
Phone (614) 863-4125

Other identifiers 2

IdentifierTypeStateIssuer
269-48-4130-00OtherOHBWC
0640300MedicaidOH

Other names 1

  • Psychological & Counseling Services Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285760470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7664 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688158",
            "telephone_number": "614-863-4125",
            "fax_number": "614-863-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7664 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688158",
            "telephone_number": "614-863-4125",
            "fax_number": "614-863-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E. MILLER, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-863-4120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "PSYCHOLOGIST #3589",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "PSYCHOLOGIST #3589",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "PSYCHOLOGIST #3589",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "PSYCHOLOGIST #3589",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "OH",
            "license": "PSYCHOLOGIST #3589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "269-48-4130-00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0640300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological & Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.