NPIMap

Organization Active NPI

Miron Office

  • Psychologist
  • Columbia, MD
National Provider Identifier
1689162430
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04325 Issued in MD
Legal business name
MIRON OFFICE
Practice address
6014 Jerrys Dr
Columbia, MD 21044-3823
Phone
(410) 375-8363
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Dr. Jill Miron, PSY.D.
Title
Psychologist
Phone
(410) 375-8363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 04325 MD Primary

Addresses

Primary practice location

6014 Jerrys Dr
Columbia, MD 21044-3823

Mailing address

6014 Jerrys Dr
Columbia, MD 21044-3823

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1689162430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 JERRYS DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 JERRYS DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443823",
            "telephone_number": "410-375-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRON OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "MIRON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "410-375-8363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.