Stacy Miller, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4304 Issued in NM

Practice address

801 Vassar Dr NE BLDG 23
Albuquerque, NM 87106-2725

Phone

(505) 248-4087

Fax

(505) 256-6844

NPI assigned

Dec 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• DHHS IHS Phoenix Area

  • Clinic/Center
  • Battle Mountain, NV
  • NPI 1548546609

  TX

  Medicare reassignment NPD
• Shoshone-Paiute Tribes

  • Clinic/Center
  • Owyhee, NV
  • NPI 1528230224

  TX

  Medicare reassignment NPD
• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment NPD
• DHHS IHS Phoenix Area

  • Federal Public Health Clinic/Center
  • Elko, NV
  • NPI 1780961102
  NPD
• Shoshone Paiute Tribes

  • Land Ambulance
  • Owyhee, NV
  • NPI 1104181791
  NPD
• U S Health Dept of Health & Human Services

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1740510528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE BLDG 23",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-4087",
            "fax_number": "505-256-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE BLDG 23",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-4087",
            "fax_number": "505-256-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STACY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4304",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Miller, MD
• Robert Benjamin Miller, M.D.
• Sarah Miller, MD
• Sarah Michelle Miller, NURSE PRACTITIONER
• Simone Miller, MD
• Susan S Miller, PSY.D.
• Suzanne Miller, AUD
• Tayln B Miller
• Theresa Ann Miller, PHD
• Alexandra C Millhuff, DO

• Clinical Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.