Individual provider Active NPI

Marian Louise Miller, PSYD

  • Clinical Psychologist
  • Kailua, HI
National Provider Identifier
1457364010
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY647 Issued in HI
Practice address
1454 Akeke PL
Kailua, HI 96734-4218
Phone
(808) 262-3345
Fax
(808) 240-1097
NPI assigned
Aug 14, 2006
Reactivated
May 28, 2008
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY647 HI Primary

Addresses

Primary practice location

1454 Akeke PL
Kailua, HI 96734-4218

Mailing address

1454 Akeke Place
Kailua, HI 96734-4218
Phone (808) 262-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112001008 HI Practitioner - Clinical Psychologist 9436172640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1454 Akeke PL
Kailua, HI 96734-4218
Phone (808) 262-3345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY647HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marian L Miller PSYD Inc Clinical CurrentSince Aug 8, 2018 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1457364010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 AKEKE PLACE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344218",
            "telephone_number": "808-262-3345",
            "fax_number": "808-240-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 AKEKE PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344218",
            "telephone_number": "808-262-3345",
            "fax_number": "808-240-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARIAN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-11-23",
        "deactivation_date": "2008-02-27",
        "reactivation_date": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.