Active NPI
Anne Bottimore Miller, PH.D.
- Clinical Psychologist
- Grapevine, TX
National Provider Identifier
1588896799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32261
- Practice address
- 1400 W Northwest Hwy
Suite 200
Grapevine, TX 76051-8113 - Phone
- (972) 754-9503
- NPI assigned
- Aug 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 32261 | TX | |
| Clinical Psychologist | 103TC0700X | 32261 | TX | Primary |
| Health Psychologist | 103TH0004X | 32261 | TX |
Addresses
Primary practice location
1400 W Northwest Hwy
Suite 200
Grapevine, TX 76051-8113
Mailing address
1400 W Northwest Hwy
Suite 200
Grapevine, TX 76051-8113
Phone (972) 754-9503
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32261 | TX | MD | Health Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Clinical | Past | Accepting new patients |
| Our Lady of the Lake | Past | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
Clinical
-
- Psychiatry Physician
- Baton Rouge, LA
- NPI 1851391148
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1588896799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W NORTHWEST HWY",
"address_2": "SUITE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518113",
"telephone_number": "972-754-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W NORTHWEST HWY",
"address_2": "SUITE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518113",
"telephone_number": "972-754-9503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANNE",
"middle_name": "BOTTIMORE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TX",
"license": "32261",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32261",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "TX",
"license": "32261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.