Charles Miller, PSY.D., LCP
Individual provider Active NPI Clinical Psychologist · Luray, VA
NPI 1386340545 · NPPES record last updated Jan 31, 2023
Key facts
- NPI
- 1386340545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810008068 (VA)
- Practice address
- 250 Memorial Dr Ste B
Luray, VA 22835-1000 - Phone
- (540) 568-1735
- NPI assigned
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Madison University | Clinical | Current |
Accepting new patients |
| Life Works Professional Counseling, PLLC | Past | Accepting new patients |
Locations
755 Martin Luther King Jr Hwy
#9012
Harrisonburg, VA 22807
Phone (540) 568-1735
250 Memorial Dr
#B
Luray, VA 22835
Phone (434) 990-1744
294 E Main St
Stanley, VA 22851
Phone (434) 990-1744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810008068 | VA | Yes |
Addresses
Primary practice location
250 Memorial Dr Ste B
Luray, VA 22835-1000
Mailing address
213 Morningside Dr
Broadway, VA 22815-9751
Phone (703) 975-5821
Other practice location 1
294 E Main St
Stanley, VA 22851-4039
Phone (540) 568-1735
Other practice location 2
755 Martin Luther King Jr Hwy # 9012
Harrisonburg, VA 22807-1053
Phone (540) 568-1735
Other providers in Luray, VA
- Ashley Marie Mann
- Karen Elaine Marshall
- Mary Fleury Mayfield
- McKim and Huffman Inc
- Niklas Walter Mikelson
- David Brooke Miller
- Bradley Keller Moyer
- Nicole Mueller
- MV Operations LLC
- Heather Najjar
All providers in Luray, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.