Cheryl S Miller, EDUCATIONAL PSYCHOLO

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LEP1765 Issued in CA

Practice address

29170 Heathercliff Rd Ste B
Malibu, CA 90265-4100

Phone

(818) 661-8892

NPI assigned

Jun 13, 2011

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

State licenses

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1649565169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29170 HEATHERCLIFF RD STE B",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654100",
            "telephone_number": "818-661-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29170 HEATHERCLIFF RD STE B",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654100",
            "telephone_number": "818-661-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHERYL",
        "middle_name": "S",
        "credential": "EDUCATIONAL PSYCHOLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mermaids Cove Malibu Inc.
• Leila Mesghali, LMFT
• Talin Meshefedjian, DO
• Michael J. Maguire Acupuncturist, Inc.
• Rose Milanes-Skopp, DO
• Pantea Matian Miller, PHARMD
• Richard Stephen Miller, PH.D.
• Andrew Gregory Mitton, M.D.
• Linda Mohr, LCSW
• Laurene Susan Moise, M.D.

• School Psychologist in Malibu, CA
• Providers in Malibu, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.