Organization Active NPI

Sandy Miller, Psychotherapy, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1316187909
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801077262 Issued in MI
Legal business name
SANDY MILLER, PSYCHOTHERAPY, PLLC
Practice address
202 E Washington St
Suite 401
Ann Arbor, MI 48104-2017
Phone
(734) 709-1232
Fax
(734) 998-1451
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Ms. Sandra L. Miller, L.M.S.W., A.C.S.W.
Title
President, Sole Proprietor
Phone
(734) 709-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801077262 MI Primary

Addresses

Primary practice location

202 E Washington St
Suite 401
Ann Arbor, MI 48104-2017

Mailing address

1139 Wendy CT
Ann Arbor, MI 48103-3175
Phone (734) 709-1232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1316187909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 WENDY CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033175",
            "telephone_number": "734-709-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON ST",
            "address_2": "SUITE 401",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042017",
            "telephone_number": "734-709-1232",
            "fax_number": "734-998-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY MILLER, PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT, SOLE PROPRIETOR",
        "authorized_official_telephone_number": "734-709-1232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.S.W., A.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.