Tyrone Perry Miller Sr., MA, CCFC, CCHP-MH

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

22320 Foothill Blvd Ste 428
Hayward, CA 94541-2719

Phone

(510) 722-7050

NPI assigned

Aug 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1700364734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 MILLWOOD DR",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953639276",
            "telephone_number": "209-810-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22320 FOOTHILL BLVD STE 428",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412719",
            "telephone_number": "510-722-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TYRONE",
        "middle_name": "PERRY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MA, CCFC, CCHP-MH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle June Miller
• Haley Nicole Miller
• Kathryn Miller, MSW
• Michael D Miller II, MD
• Tralice Miller
• Wendy S Miller, MFT
• David Tiozon Milligan
• Dennis Edward Mills, B.S HEALTH CARE TECH
• Lena A Milton
• Min Shong Chang MD a Professional Corporation

• Case Manager/Care Coordinator in Hayward, CA
• Providers in Hayward, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.