Active NPI
Ryan Donald Miller, PSY.D, L.P.
- Clinical Psychologist
- Minneapolis, MN
National Provider Identifier
1699964510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5386
- Practice address
- One Veterans Drive
Medical Center
Minneapolis, MN 55417 - Phone
- (612) 725-2000
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 | LP5386 | MN | Primary |
Addresses
Primary practice location
One Veterans Drive
Medical Center
Minneapolis, MN 55417
Mailing address
1861 Michael Point Dr
Eagan, MN 55122-2463
Phone (651) 245-0364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5386 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1699964510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 MICHAEL POINT DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222463",
"telephone_number": "651-245-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE VETERANS DRIVE",
"address_2": "MEDICAL CENTER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55417",
"telephone_number": "612-725-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RYAN",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "PSY.D, L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.