Miller Psychiatry Clinic, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19142 Issued in MS

Legal business name

MILLER PSYCHIATRY CLINIC, INC.

Practice address

1005 City Ave N
Ripley, MS 38663-1414

Phone

(662) 837-1561

Fax

(662) 837-1566

NPI assigned

Dec 15, 2009

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amy Chanda Miller, MD

Title

Owner and Ceo

Phone

(662) 871-8663

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1649509944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WILSONG VILLAGE TRL",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388667185",
            "telephone_number": "662-869-7300",
            "fax_number": "662-869-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-1561",
            "fax_number": "662-837-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PSYCHIATRY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CHANDA",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "662-871-8663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "19142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265533038",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Ripley, MS
• Providers in Ripley, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.