Active NPI
Tameka Susberry Miller, PH.D.
- Counseling Psychologist
- Arlington, TX
National Provider Identifier
1437465788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 33726
- Practice address
- 5620 SW Green Oaks Blvd Ste D
Arlington, TX 76017-1151 - Phone
- (817) 330-9833
- Fax
- (972) 478-6525
- NPI assigned
- Aug 24, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 33726 | TX | Primary |
| Family Psychologist | 103TF0000X | 33726 | TX |
Addresses
Primary practice location
5620 SW Green Oaks Blvd Ste D
Arlington, TX 76017-1151
Mailing address
PO Box 40073
Fort Worth, TX 76140-0073
Phone (817) 330-9833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33726 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Educational and Psychological Services, LLC | Counseling | Past | Accepting new patients |
Interoperability endpoints
- tameka.miller.1@30520.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Counseling Psychologist
- Arlington, TX
- NPI 1831405943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1437465788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40073",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761400073",
"telephone_number": "817-330-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 SW GREEN OAKS BLVD STE D",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760171151",
"telephone_number": "817-330-9833",
"fax_number": "972-478-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TAMEKA",
"middle_name": "SUSBERRY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-24",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "33726",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "TX",
"license": "33726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.