Melvin E Miller, PH.D.

Individual provider Active NPI Psychoanalysis Psychologist · Montpelier, VT

NPI 1487770822 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487770822
Entity type
Individual (NPI type 1)
Primary specialty
Psychoanalysis Psychologist 103TP0814X
License
244 (VT)
Practice address
79 Main St
Montpelier, VT 05602-3173
Phone
(802) 229-2779
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

318 Murray Hill Dr
Montpelier, VT 05602-4217

79 Main St
Montpelier, VT 05602-3173

79 Main St
Suite 11
Montpelier, VT 05602-2955
Phone (802) 229-2779

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070529000378 VT Practitioner - Clinical Psychologist 1456457787 Practice locations: Montpelier, VT

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
244VTMDPsychoanalysis Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X 244 VT Yes

Addresses

Primary practice location

79 Main St
Montpelier, VT 05602-3173

Mailing address

318 Murray Hill Dr
Montpelier, VT 05602-4217
Phone (802) 229-0847

Other providers in Montpelier, VT

All providers in Montpelier, VT · Psychoanalysis Psychologist in Vermont

Sources for this page

Verify at the official NPI Registry.