Active NPI
Thomas Joseph Miller, PH.D.
- Addiction (Substance Use Disorder) Psychologist
- Campbell, CA
National Provider Identifier
1568754760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- PSY12379
- Practice address
- 51 E. Campbell Ave
Suite 170
Campbell, CA 95008-2001 - Phone
- (408) 370-6174
- Fax
- (408) 370-6196
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSY12379 | CA | Primary |
Addresses
Primary practice location
51 E. Campbell Ave
Suite 170
Campbell, CA 95008-2001
Mailing address
51 E. Campbell Ave.
Suite 170
Campbell, CA 95008-2001
Phone (408) 370-6174
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12379 | CA | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1568754760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 E. CAMPBELL AVE.",
"address_2": "SUITE 170",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082001",
"telephone_number": "408-370-6174",
"fax_number": "408-370-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 E. CAMPBELL AVE",
"address_2": "SUITE 170",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082001",
"telephone_number": "408-370-6174",
"fax_number": "408-370-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "PSY12379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.