Active NPI
Nicole Hoffman Miller PSYD LLC
- Community/Behavioral Health Agency
- Salem, VA
National Provider Identifier
1710487970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0810004434
- Legal business name
- NICOLE HOFFMAN MILLER PSYD LLC
- Practice address
- 606 S Market St
Salem, VA 24153-5012 - Phone
- (540) 759-0037
- NPI assigned
- Feb 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Michele Hoffman Miller, PSYD
- Title
- Licensed Clinical Psychologist
- Phone
- (540) 759-0037
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0810004434 | VA | Primary |
Addresses
Primary practice location
606 S Market St
Salem, VA 24153-5012
Mailing address
606 S Market St
Salem, VA 24153-5012
Phone (540) 759-0037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600754199 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Creative Psychological Services PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Cleveland, TN
- NPI 1376262840
Locations
606 S Market St
Salem, VA 24153
Phone (423) 967-9951
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Cleveland, TN
- NPI 1962608588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518566400000",
"number": "1710487970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 S MARKET ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241535012",
"telephone_number": "540-759-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 S MARKET ST",
"city": "SALEM",
"state": "VA",
"postal_code": "241535012",
"telephone_number": "540-759-0037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE HOFFMAN MILLER PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A",
"authorized_official_last_name": "HOFFMAN MILLER",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "540-759-0037",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "0810004434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600754199",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.