Terri Denise Miller, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2371592 Issued in MA

Practice address

100 New State Hwy
Raynham, MA 02767-5423

Phone

(781) 666-2711

Fax

(781) 666-2712

NPI assigned

Nov 19, 2021

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Neuro Behavioral Care LLCGroup PAC ID 2860721362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Spectrum Neuro Behavioral Care LLC

  dba SNBCare

  • Community/Behavioral Health Agency
  • North Smithfield, RI
  • NPI 1356906572

  MA

  Medicare reassignment Care Compare group NPD
• Leading Light Mental Health Clinic, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1730862491
  NPD
• Advanced Telepsych PLLC

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1508456377
  NPD
• Unique Holistic Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
  • NPI 1518415538
  NPD
• Metrowest Rheumatology, PC

  • Rheumatology Physician
  • Framingham, MA
  • NPI 1235193012
  NPD (past)
• Koann Therapeutic Services Inc

  dba Revive Therapeutic Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1629861224
  NPD (past)
• Northeast Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Cheshire, CT
  • NPI 1396991956
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1295492635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11504 LARKIN FOREWAY",
            "address_2": "UNIT 201",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40291",
            "telephone_number": "859-329-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW STATE HWY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675423",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Union St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Natick",
            "state": "MA",
            "postal_code": "017607700",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4907 Fitzhugh Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303533",
            "country_code": "US",
            "telephone_number": "804-464-8340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Lincoln St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017028264",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TERRI",
        "middle_name": "DENISE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2371592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Medeiros, D.C.
• Aditya Mehra
• David Melancon, PHARMD
• Melissa Menard, LICSW
• Wanda L Meyer, R.N.
• Shawn P Mills, M.D.
• Candace Mitchell
• Luis Moncada, DMD
• Stacie Ann Morgado
• Leeann Morris

• Psychiatric/Mental Health Nurse Practitioner in Raynham, MA
• Providers in Raynham, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.

Verify at the official NPI Registry.