David a. Miller, PH.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

671 Issued in KS

Legal business name

DAVID A. MILLER, PH.D., LLC

Practice address

8575 W. 110TH Street
Suite 218
Overland Park, KS 66210-2620

Phone

(913) 345-0033

Fax

(913) 345-0177

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. David A. Miller, PH.D.

Title

Licensed Psychologist

Phone

(913) 345-0033

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1376080135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 W. 110TH STREET",
            "address_2": "SUITE 218",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "913-345-0033",
            "fax_number": "913-345-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W. 110TH STREET",
            "address_2": "SUITE 218",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102620",
            "telephone_number": "913-345-0033",
            "fax_number": "913-345-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. MILLER, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "913-345-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "KS",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493440705",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4957144501",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.