Individual provider Active NPI

Elizabeth Miller

  • Psychiatric/Mental Health Nurse Practitioner
  • Austintown, OH
National Provider Identifier
1720620198
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025790 Issued in OH
Practice address
5547 Mahoning Ave # 187
Austintown, OH 44515-2316
Phone
(440) 259-6551
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025790 OH Primary

Addresses

Primary practice location

5547 Mahoning Ave # 187
Austintown, OH 44515-2316

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230002317 OH Practitioner - Nurse Practitioner 4981038825 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025790OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Community Services Inc CurrentSince Nov 2, 2019 Accepting new patients
Family & Community Services, Inc CurrentSince Nov 2, 2019 Accepting new patients
Miller Psychiatric Services Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
Miller Psychiatric Services Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients
Anchor Recovery Services CurrentSince Feb 22, 2020 Accepting new patients

Locations

150 E Market St
Warren, OH 44481
Phone (330) 394-6244

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

5547 Mahoning Ave
Youngstown, OH 44515
Phone (267) 691-2800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1720620198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 MAHONING AVE # 187",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152316",
            "telephone_number": "440-259-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

Verify at the official NPI Registry.