Individual provider Active NPI

Richard G Miller, MD

  • Psychiatry Physician
  • Chappaqua, NY
National Provider Identifier
1497720312
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
136250 Issued in NY
Practice address
20 Gray Rock LN
Chappaqua, NY 10514-2511
Phone
(914) 238-3958
Fax
(914) 238-3958
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA058602 NJ
Psychiatry Physician 2084P0800X 136250 NY Primary
Psychiatry Physician 2084P0800X 035477 CT

Addresses

Primary practice location

20 Gray Rock LN
Chappaqua, NY 10514-2511

Mailing address

20 Gray Rock LN
Chappaqua, NY 10514-2511
Phone (914) 238-3958

Other identifiers 1

IdentifierTypeStateIssuer
00761844MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060816000252 NY Practitioner - Psychiatry 5193749828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

1940 Commerce St
Suite 309
Yorktown Heights, NY 10598-4449
Phone (914) 245-0437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
035477CTMDPsychiatry Physician
MA058602NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County, Inc. Psychiatry CurrentSince Apr 17, 2024 Accepting new patients
Putnam Family and Community Services Inc PastSince Aug 20, 2019 Accepting new patients
Nysarc, Inc. Dutchess County Chapter PastSince Mar 10, 2010 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Nysarc Inc Sullivan County Chapter Past Accepting new patients

Locations

344 E Main St
Ste 301
Mount Kisco, NY 10549
Phone (914) 263-7240

580 White Plains Rd
Ste 510
Tarrytown, NY 10591
Phone (518) 312-6335

360 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 682-1480

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497720312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAY ROCK LN",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142511",
            "telephone_number": "914-238-3958",
            "fax_number": "914-238-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GRAY ROCK LN",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142511",
            "telephone_number": "914-238-3958",
            "fax_number": "914-238-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA058602",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "136250",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "035477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00761844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

Verify at the official NPI Registry.