Active NPI
Rena Lee Miller, PHD
- Clinical Psychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023934
- Practice address
- 447 Broadway FL 2
New York, NY 10013-2562 - Phone
- (347) 948-3362
- NPI assigned
- Oct 13, 2020
- Last updated
- Aug 28, 2021
- Sex
- Female
- 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 | 023934 | NY | Primary |
Addresses
Primary practice location
447 Broadway FL 2
New York, NY 10013-2562
Mailing address
82 Nassau St # 60547
New York, NY 10038-3703
Phone (347) 948-3362
Other practice location 1
941 Boulevard E
Weehawken, NJ 07086-7139
Phone (347) 948-3362
Other names 1
- Dr. Racheli Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 12, 2021 through Sep 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racheli Miller PHD Inc | Clinical | Current | Accepting new patients |
| Dr Rena Miller Psychological Services LLC | Clinical | Current | Accepting new patients |
| Dr. Miller Psychological Services PLLC | Current | Accepting new patients |
Locations
447 Broadway
Fl 2
New York, NY 10013
Phone (347) 807-3288
82 Nassau St
New York, NY 10038
Phone (347) 625-3993
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- New York, NY
- NPI 1619695459
-
dba The Compassion Practice
- Mental Health Counselor
- New York, NY
- NPI 1144997958
Clinical
-
- Clinical Psychologist
- Weehawken, NJ
- NPI 1528827375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1700484623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 NASSAU ST # 60547",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100383703",
"telephone_number": "347-948-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 BROADWAY FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100132562",
"telephone_number": "347-948-3362"
}
],
"practiceLocations": [
{
"address_1": "941 Boulevard E",
"address_purpose": "LOCATION",
"city": "Weehawken",
"state": "NJ",
"postal_code": "070867139",
"country_code": "US",
"telephone_number": "347-948-3362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "RENA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-13",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHELI",
"last_name": "MILLER",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.