Carly Meredith Miller, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019722 Issued in NY

Practice address

225 W 83Rd St
Apt#16J
New York, NY 10024-4952

Phone

(917) 626-5913

NPI assigned

Aug 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1629326699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W 83RD ST",
            "address_2": "APT#16J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244952",
            "telephone_number": "917-626-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W 83RD ST",
            "address_2": "APT#16J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244952",
            "telephone_number": "917-626-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARLY",
        "middle_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-24",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Miller, LCSW
• Barie Miller, M.D.
• Bonnie Miller, LCSW
• Bradley Ress Miller, MD, PHD
• Camille Olivia Pan Miller
• Catherine Miller, AGACNP-BC
• Cecilia Miller, SOCIAL WORKER
• Chelsey Miller, PH.D.
• Christian Omega Miller, MD
• Christina Zaccario Miller, MSED

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.