Active NPI
Jonathan Robert Miller, PH.D.
- Marriage & Family Therapist
- Haverhill, MA
National Provider Identifier
1386805562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 855
- Practice address
- 76 Winter St
Team Coordinating Agency, Inc.
Haverhill, MA 01830-5760 - Phone
- (978) 373-1181
- Fax
- (978) 374-7605
- NPI assigned
- Jun 20, 2008
- Last updated
- Jun 20, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1384 | MA | |
| Social Worker | 104100000X | 208208 | MA | |
| Marriage & Family Therapist | 106H00000X | 855 | MA | Primary |
Addresses
Primary practice location
76 Winter St
Team Coordinating Agency, Inc.
Haverhill, MA 01830-5760
Mailing address
76 Winter St
Team Coordinating Agency, Inc.
Haverhill, MA 01830-5760
Phone (978) 373-1181
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1384 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 855 | MA | MD | Mental Health Counselor |
| 208208 | MA | MD | Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Haverhill, MA
- NPI 1083748230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1386805562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 WINTER ST",
"address_2": "TEAM COORDINATING AGENCY, INC.",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018305760",
"telephone_number": "978-373-1181",
"fax_number": "978-374-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 WINTER ST",
"address_2": "TEAM COORDINATING AGENCY, INC.",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018305760",
"telephone_number": "978-373-1181",
"fax_number": "978-374-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JONATHAN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1384",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "208208",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.