Katherine K. Miura, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

81163 Issued in MA

Legal business name

KATHERINE K. MIURA, MD, LLC

Practice address

564 Loring Ave
Unit 2
Salem, MA 01970-4276

Phone

(978) 594-1662

Fax

(978) 336-5887

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Kimi Miura, M.D.

Title

Owner

Phone

(978) 594-1662

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Ann Elvidge, LICSW

  • Clinical Social Worker
  • Beverly, MA
  • NPI 1700265568
  NPD (past)
• Pier Talbot, MSW, LICSW

  • Clinical Social Worker
  • North Andover, MA
  • NPI 1508283805
  NPD (past)

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1457642894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 LORING AVE",
            "address_2": "UNIT 2",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704276",
            "telephone_number": "978-594-1662",
            "fax_number": "978-336-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 LORING AVE",
            "address_2": "UNIT 2",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704276",
            "telephone_number": "978-594-1662",
            "fax_number": "978-336-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE K. MIURA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "MIURA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "KIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-594-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "81163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1801853007",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3156486",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huda Karman, MD
• Joseph Peter Karpicz, M.D.
• Franklin B Kashner, LICSW
• Harriet J. Kasozi, FNP
• Michael S Katcher, MD
• David L Katz, D.M.D.
• Sarah Ilana Katz, PA-C
• David H Kauder, MD
• Christine Kaveski
• Elizabeth Keane, NP

• Psychiatry Physician in Salem, MA
• Providers in Salem, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.