Active NPI
Aaron Miller, PSY.D.
- Psychologist
- Portland, OR
National Provider Identifier
1386018919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3249
- Practice address
- 5926 SE 104TH Ave
Portland, OR 97266-4184 - Phone
- (506) 505-1020
- NPI assigned
- Nov 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3249 | OR | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
5926 SE 104TH Ave
Portland, OR 97266-4184
Mailing address
516 SE Morrison St Ste 400
Portland, OR 97214-2344
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": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1386018919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 SE MORRISON ST STE 400",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972142344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5926 SE 104TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972664184",
"telephone_number": "506-505-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AARON",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-19",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3249",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.