Active NPI
Daniel Miller, MA., LLP
- Psychologist
- Saginaw, MI
National Provider Identifier
1720166424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301009486
- Practice address
- 3564 Carrollton Rd
Saginaw, MI 48603-3944 - Phone
- (989) 755-0605
- Fax
- (989) 755-0605
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301009486 | MI | Primary |
| Social Worker | 104100000X | 6801058819 | MI |
Addresses
Primary practice location
3564 Carrollton Rd
Saginaw, MI 48603-3944
Mailing address
3564 Carrollton Rd
Saginaw, MI 48603-3944
Phone (989) 755-0605
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016814 | Other | MI | MCLAREN |
| 730195 | Medicaid | MI | |
| 0995594 | Other | MI | HEALTHPLUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301009486 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1720166424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3564 CARROLLTON RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033944",
"telephone_number": "989-755-0605",
"fax_number": "989-755-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3564 CARROLLTON RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486033944",
"telephone_number": "989-755-0605",
"fax_number": "989-755-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MA., LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301009486",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801058819",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN",
"identifier": "1016814",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "730195",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "0995594",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.