Active NPI
Joanna R Miles, ED.D
- School Psychologist
- Springfield, MA
National Provider Identifier
1770113078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 939
- Practice address
- 155 Maple St
Springfield, MA 01105-2649 - Phone
- (413) 285-8722
- NPI assigned
- Jan 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 939 | MA | Primary |
Addresses
Primary practice location
155 Maple St
Springfield, MA 01105-2649
Mailing address
35 Losito LN
Agawam, MA 01001-3607
Phone (413) 348-0056
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 939 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579910400000",
"number": "1770113078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LOSITO LN",
"city": "AGAWAM",
"state": "MA",
"postal_code": "010013607",
"telephone_number": "413-348-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAPLE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052649",
"telephone_number": "413-285-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JOANNA",
"middle_name": "R",
"credential": "ED.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-25",
"last_updated": "2020-01-25",
"certification_date": "2020-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.