Robert M. Miller, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20630 Issued in CA

Practice address

575 Plymouth Rd
San Marino, CA 91108-1668

Phone

(626) 795-7966

Fax

(626) 795-7966

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Image Transformation Institute

  • Clinical Psychologist
  • Del Mar, CA
  • NPI 1376572438
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1316036759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 PLYMOUTH RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081668",
            "telephone_number": "626-795-7966",
            "fax_number": "626-795-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 PLYMOUTH RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081668",
            "telephone_number": "626-795-7966",
            "fax_number": "626-795-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WCP20630A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Medici, PHD
• Medipro Medical Group Inc
• Rita Fogata Mejia, RDN
• Mesa Advantage Medical Group
• Mike Nicholas Milinkovic, CHIROPRACTOR
• Karen I Minero, L.C.S.W.
• Mitchell C Latter M D Inc a Prof Corp
• Kathleen Ann Moore-Alpaugh, M.F.T.
• Alastair Naghieh
• Rebecca Najera, DO

• Clinical Psychologist in San Marino, CA
• Providers in San Marino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.