Individual provider Active NPI

Wilbert Lee Miles, PH.D.

  • Clinical Psychologist
  • Denver County, CO
National Provider Identifier
1558691576
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1555 Issued in CO
Practice address
1839 York St
#210 C/O (Will Miles PHD) Or Wilbert L. Miles PH.D
Denver County, CO 80206-1222
Phone
(303) 321-9001
Fax
(303) 494-1187
NPI assigned
Jan 14, 2010
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1555 CO Primary

Addresses

Primary practice location

1839 York St
#210 C/O (Will Miles PHD) Or Wilbert L. Miles PH.D
Denver County, CO 80206-1222

Mailing address

1839 York St
#210 C/O (Will Miles PHD) Or Wilbert L. Miles PH.D
Denver County, CO 80206-1222
Phone (303) 321-9001

Other names 1

  • Dr. Will Miles PH.D. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1555COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1558691576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 YORK ST",
            "address_2": "#210 C/O (WILL MILES PHD) OR WILBERT L. MILES PH.D",
            "city": "DENVER COUNTY",
            "state": "CO",
            "postal_code": "802061222",
            "telephone_number": "303-321-9001",
            "fax_number": "303-494-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 YORK ST",
            "address_2": "#210 C/O (WILL MILES PHD) OR WILBERT L. MILES PH.D",
            "city": "DENVER COUNTY",
            "state": "CO",
            "postal_code": "802061222",
            "telephone_number": "303-321-9001",
            "fax_number": "303-494-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "WILBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILL",
            "last_name": "MILES PH.D.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.