G. Dick Miller, PH.D.10/24/19

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2-1081 Issued in TX

Practice address

4001 W Airport Fwy
Suite 185
Bedford, TX 76021

Phone

(817) 283-8484

Fax

(817) 283-8286

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1720069255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W AIRPORT FWY",
            "address_2": "SUITE 185",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-283-8484",
            "fax_number": "817-283-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W AIRPORT FWY",
            "address_2": "SUITE 185",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76021",
            "telephone_number": "817-283-8484",
            "fax_number": "817-283-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "G.",
        "middle_name": "DICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.10/24/19",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "2-1081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "JC76",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-Cities Family Care, LLP
• Miller Dental Bedford PLLC
• Andrea E Miller, MD
• Andrew H Miller, MD
• Anne Miller, RN
• Jennifer Sue Boyd Miller, SLP
• John David Miller, MD
• John Roy Miller, PT
• Sheri L Miller, LPC, LMFT
• Susan Christine Millner, D.D.S.

• Clinical Psychologist in Bedford, TX
• Providers in Bedford, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.