Thomas G Miller, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS1042 Issued in ME

Practice address

86 Dartmouth St
Portland, ME 04103-4808

Phone

(207) 773-7406

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Group practices

NR Maine LLCGroup PAC ID 0648783308, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NR Maine LLC

  • Rehabilitation Clinic/Center
  • Scarborough, ME
  • NPI 1902616568
  Medicare reassignment Care Compare group NPD
• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463
  Medicare reassignment
• NR Maine, LLC

  • Rehabilitation Clinic/Center
  • Augusta, ME
  • NPI 1255122818
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1720094477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 DARTMOUTH ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034808",
            "telephone_number": "207-773-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 DARTMOUTH ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034808",
            "telephone_number": "207-773-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ME",
            "license": "PS1042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER ID",
            "identifier": "035275",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231050000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Miller, PT
• Nancy Fay Miller, PH.D.
• Rebecca Miller, RN
• Stephen Wayne Miller, PA-C
• Susan Miller, MD
• Monique Millette
• Andrea Kathryn Millhouse, OT
• Ian James Milligan, MD
• Michael Milligan, MD
• Robyn Milligan

• Clinical Neuropsychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Neuropsychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.