Individual provider Active NPI

Harold John Miller, ED. D.

  • Psychologist
  • Hackettstown, NJ
National Provider Identifier
1518269729
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016882 Issued in PA
Practice address
8 Bob White
Hackettstown, NJ 07840-3325
Phone
(306) 584-1084
NPI assigned
Nov 19, 2010
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016882 PA Primary

Addresses

Primary practice location

8 Bob White
Hackettstown, NJ 07840-3325

Mailing address

8 Bob White
Hackettstown, NJ 07840-3325
Phone (306) 584-1084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000328 PA Practitioner - Clinical Psychologist 8022271600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Cleveland Ave
Suite 205
Chambersburg, PA 17201-3430
Phone (717) 496-9438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016882PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Psychological Services LLC CurrentSince Apr 6, 2012 Accepting new patients

Locations

550 Cleveland Ave
Ste 205
Chambersburg, PA 17201
Phone (717) 496-9438

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1518269729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BOB WHITE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403325",
            "telephone_number": "306-584-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BOB WHITE",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078403325",
            "telephone_number": "306-584-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HAROLD",
        "middle_name": "JOHN",
        "credential": "ED. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.