Angela Anne Miller

Primary specialty

SpecialistTaxonomy code 174400000X

License

1734091 Issued in NY

Practice address

3006 Trinity St
Oceanside, NY 11572-3224

Phone

(516) 351-1705

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1467945188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 TRINITY ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723224",
            "telephone_number": "516-351-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 TRINITY ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723224",
            "telephone_number": "516-351-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1734091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Conti PSYD LLC
• Michelle Valdner Mental Health Counseling PLLC
• Adara Mifsud, PA-C
• Gabriella Dianna Mihale, OTR/L
• Linda Ellen Mihale, P.T.A.
• Ann Marie Miller, M.S. ED.
• Candice Miller
• Misako Miller, RN/IBCLC
• Victor Milloul, M.D., M.SC
• Yehoshua Mirkin, MD

• Specialist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.