Individual provider Active NPI

Julia Mae Miller, PPS

  • School Psychologist
  • Lake Elsinore, CA
National Provider Identifier
1336890805
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
34133 Dianthus LN
Lake Elsinore, CA 92532-2981
Phone
(661) 583-2493
NPI assigned
Jan 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CA Primary

Addresses

Primary practice location

34133 Dianthus LN
Lake Elsinore, CA 92532-2981

Mailing address

34133 Dianthus LN
Lake Elsinore, CA 92532-2981
Phone (661) 583-2493

Other names 1

  • Julia Mae Easler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Julia.Miller@presencelearning.com Direct PresenceLearning, Inc.

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1336890805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34133 DIANTHUS LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322981",
            "telephone_number": "661-583-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34133 DIANTHUS LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322981",
            "telephone_number": "661-583-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JULIA",
        "middle_name": "MAE",
        "credential": "PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Julia.Miller@presencelearning.com",
            "affiliation": "Y",
            "endpointDescription": "Professional Email",
            "affiliationName": "PresenceLearning, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "580 Market St",
            "address_2": "6th Floor",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941045403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "EASLER",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.