Active NPI
Erica Miller, PH.D.
- Clinical Child & Adolescent Psychologist
- Brooklyn, NY
National Provider Identifier
1477962579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 020588
- Practice address
- 195 Montague St
Brooklyn, NY 11201 - Phone
- (646) 861-8180
- NPI assigned
- Aug 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 020588 | NY | Primary |
Addresses
Primary practice location
195 Montague St
Brooklyn, NY 11201
Mailing address
141 22ND St # 2
Brooklyn, NY 11232-1105
Phone (646) 861-8180
Other practice location 1
142 Joralemon St
Suite 3E
Brooklyn, NY 11201-4747
Phone (718) 935-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 6, 2020 through Aug 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E & R Psychology, PC | Current | Accepting new patients |
Locations
159 20th St
Ste 1B
Brooklyn, NY 11232
Phone (646) 685-4422
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.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1619690070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1477962579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 22ND ST # 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321105",
"telephone_number": "646-861-8180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 MONTAGUE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "646-861-8180"
}
],
"practiceLocations": [
{
"address_1": "142 Joralemon St",
"address_2": "Suite 3E",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112014747",
"country_code": "US",
"telephone_number": "718-935-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ERICA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "020588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.