Active NPI
Stephen J Miller PHD PC
- Clinical Psychologist
- Oklahoma City, OK
National Provider Identifier
1356538292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 340
- Legal business name
- STEPHEN J MILLER PHD PC
- Practice address
- 1900 NW Expressway St
Ste 900
Oklahoma City, OK 73118-1802 - Phone
- (405) 810-1133
- Fax
- (405) 810-1155
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen J Miller, PHD
- Title
- President
- Phone
- (405) 810-1133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 340 | OK | |
| Adult Development & Aging Psychologist | 103TA0700X | 340 | OK | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 340 | OK | |
| Clinical Psychologist | 103TC0700X | 340 | OK | Primary |
| Counseling Psychologist | 103TC1900X | 340 | OK | |
| Marriage & Family Therapist | 106H00000X | 340 | OK |
Addresses
Primary practice location
1900 NW Expressway St
Ste 900
Oklahoma City, OK 73118-1802
Mailing address
1900 NW Expressway St
Ste 900
Oklahoma City, OK 73118-1802
Phone (405) 810-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1900 NW Expressway
Ste 900
Oklahoma City, OK 73118
Phone (405) 420-6646
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychoanalysis Psychologist
- Oklahoma City, OK
- NPI 1770549743
Cognitive & Behavioral
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190678400000",
"number": "1356538292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 NW EXPRESSWAY ST",
"address_2": "STE 900",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731181802",
"telephone_number": "405-810-1133",
"fax_number": "405-810-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 NW EXPRESSWAY ST",
"address_2": "STE 900",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731181802",
"telephone_number": "405-810-1133",
"fax_number": "405-810-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN J MILLER PHD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-810-1133",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "OK",
"license": "340",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "OK",
"license": "340",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OK",
"license": "340",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "340",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "OK",
"license": "340",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.