Individual provider Active NPI

Byron H Miller, MFT

  • Marriage & Family Therapist
  • Turlock, CA
National Provider Identifier
1649280017
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39239 Issued in CA
Practice address
384 E Olive Ave Ste 2
Turlock, CA 95380-4051
Phone
(209) 638-6673
Fax
(209) 874-1437
NPI assigned
Aug 9, 2006
Last updated
Feb 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39239 CA Primary

Addresses

Primary practice location

384 E Olive Ave Ste 2
Turlock, CA 95380-4051

Mailing address

PO Box 193
Waterford, CA 95386-0193
Phone (209) 667-5683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240812000641 CA Practitioner - Marriage and Family Therapist 8527506492 Practice locations: Turlock, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National University of Arts and Sciences, Medical Department, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

384 E Olive Ave
Suite 2
Turlock, CA 95380-4051
Phone (209) 638-6673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC39239CAMDMarriage & Family Therapist
39239CAMDPulmonary Function Technologist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1649280017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "WATERFORD",
            "state": "CA",
            "postal_code": "953860193",
            "telephone_number": "209-667-5683",
            "fax_number": "209-874-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E OLIVE AVE STE 2",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804051",
            "telephone_number": "209-638-6673",
            "fax_number": "209-874-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BYRON",
        "middle_name": "H",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.