Ronald B. Miller, PHD, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

056 Issued in VT

Legal business name

RONALD B. MILLER, PHD, PLLC

Practice address

123 Ethan Allen Ave
Colchester, VT 05446-3311

Phone

(802) 654-7075

NPI assigned

Feb 4, 2014

Last updated

Feb 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald B. Miller, PHDNPI 1720173370

Title

Psychologist/Manager

Phone

(802) 654-7075

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald B Miller, PH.D.

  • Clinical Psychologist
  • Colchester, VT
  • NPI 1720173370
  Medicare reassignment NPD Authorized official
• Naomi P. Shapiro, MSW, BCD

  • Clinical Social Worker
  • Colchester, VT
  • NPI 1164563177
  NPD (past)

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1720401250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BUTTERNUT LN",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826925",
            "telephone_number": "802-654-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ETHAN ALLEN AVE",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463311",
            "telephone_number": "802-654-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B. MILLER, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/MANAGER",
        "authorized_official_telephone_number": "802-654-7075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VT",
            "license": "056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010121",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert M Duwors Incorporated
• Laura Willgoose Roberts, PT
• Travis J Robillard, PA
• Nicole Rocheleau, MA, LCMHC
• Eniel Gerardo Rolon Resto, DC
• Deborah Ellen Rooney, M.S., CCCA
• Sandra W. Rosa, RPH.
• Louise Moon Rosales, FNP
• Anita Louise Royer, LICSW
• Michael Jay Rubin, PT

• Clinic/Center in Colchester, VT
• Providers in Colchester, VT by specialty
• Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.