Active NPI
Michael T Miesner, PH.D.
- Clinical Psychologist
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 081005215
- Practice address
- 1000 Boulers Parkway Ste 102
North Chesterfield, VA 23225 - Phone
- (804) 591-3134
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 081005215 | VA | Primary |
Addresses
Primary practice location
1000 Boulers Parkway Ste 102
North Chesterfield, VA 23225
Mailing address
1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225-5515
Phone (804) 591-3134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- East Tennessee State University Quillen College of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Boulders Pkwy
Suite 101
North Chesterfield, VA 23225-5515
Phone (804) 320-4341
703 N Courthouse Rd
Suite 101
Richmond, VA 23236-4036
Phone (804) 794-4482
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.54 of 100
- Quality
- 71.96
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081005215 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Associates of Richmond Inc | Current | Accepting new patients | |
| Dysphagia Management Systems, LLC | Past | Accepting new patients |
Locations
2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261
1000 Boulders Pkwy
Ste 101
North Chesterfield, VA 23225
Phone (804) 320-4341
1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134
2025 Waterside Rd
Prince George, VA 23875
6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134
1603 Santa Rosa Rd
Rm 201
Richmond, VA 23229
Phone (804) 282-1373
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Richmond, VA
- NPI 1144253444
-
- Clinical Psychologist
- North Chesterfield, VA
- NPI 1093118051
-
- Hearing and Speech Clinic/Center
- Sarasota, FL
- NPI 1194196592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1699082065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BOULDERS PKWY",
"address_2": "STE 102",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232255515",
"telephone_number": "804-591-3134",
"fax_number": "804-282-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BOULERS PARKWAY STE 102",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "23225",
"telephone_number": "804-591-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIESNER",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "081005215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.