Organization Active NPI

Stephen J Miller PHD PC

  • Clinical Psychologist
  • Oklahoma City, OK
National Provider Identifier
1356538292
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
340 Issued in OK
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

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Stephen J Miller, PHDNPI 1770549743
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)CodeLicenseStatePrimary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X 340 OK
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X 340 OK
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 340 OK
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 340 OK Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 340 OK
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20071204000766 OK Part B Supplier - Clinic/Group Practice 2961591532 Receives reassigned benefits from 1 practitioner
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.