NPIMap

Individual provider Active NPI

Matthew Ver Miller, PSY.D.

  • Clinical Psychologist
  • Lakewood, CO
National Provider Identifier
1316950983
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2948 Issued in CO
Practice address
445 Union Blvd
Suite 238
Lakewood, CO 80228-1237
Phone
(303) 519-0501
Fax
(720) 509-1609
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2948 CO Primary

Addresses

Primary practice location

445 Union Blvd
Suite 238
Lakewood, CO 80228-1237

Mailing address

PO Box 281071
Lakewood, CO 80228-1071
Phone (303) 519-0501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2948COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Counseling Professionals, P.C. Past Accepting new patients
Rocky Mountain Professional Counseling, P.C. Clinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1316950983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281071",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281071",
            "telephone_number": "303-519-0501",
            "fax_number": "720-509-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 UNION BLVD",
            "address_2": "SUITE 238",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281237",
            "telephone_number": "303-519-0501",
            "fax_number": "720-509-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VER MILLER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.