Active NPI
Monte C Miller PSYD
- Adult Development & Aging Psychologist
- San Antonio, TX
National Provider Identifier
1497952949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- License
- 25472
- Legal business name
- MONTE C MILLER PSYD
- Practice address
- 24165 Ih-10 W
Ste 217-475
San Antonio, TX 78257-1159 - Phone
- (210) 892-2333
- Fax
- (855) 532-9272
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monte Miller, PSYD
- Title
- Clinical Director
- Phone
- (210) 219-6151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 25472 | TX | Primary |
Addresses
Primary practice location
24165 Ih-10 W
Ste 217-475
San Antonio, TX 78257-1159
Mailing address
24165 Ih-10 W
Ste 217-475
San Antonio, TX 78257-1159
Phone (210) 892-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079562701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1102 River Rd
Fair Oaks Ranch, TX 78006
Phone (830) 249-2799
24165 W Interstate 10
Ste 217475
San Antonio, TX 78257
Phone (830) 885-5703
5430 Fredericksburg Rd
Ste 618
San Antonio, TX 78229
Phone (210) 524-9402
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1861507352
-
- Clinical Social Worker
- Dallas, TX
- NPI 1881817120
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1851434468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356652800000",
"number": "1497952949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24165 IH-10 W",
"address_2": "STE 217-475",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571159",
"telephone_number": "210-892-2333",
"fax_number": "855-532-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24165 IH-10 W",
"address_2": "STE 217-475",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782571159",
"telephone_number": "210-892-2333",
"fax_number": "855-532-9272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTE C MILLER PSYD",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2012-12-28",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MONTE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "210-219-6151",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "TX",
"license": "25472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079562701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.