Active NPI
Patrick Joseph Miller, PH.D.
- Clinical Psychologist
- Salt Lake City, UT
National Provider Identifier
1780627455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 111588-2501
- Practice address
- 500 Foothill Drive
VA Salt Lake City Health Care System
Salt Lake City, UT 84148 - Phone
- (801) 582-1565
- Fax
- (801) 584-2507
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 111588-2501 | UT | Primary |
Addresses
Primary practice location
500 Foothill Drive
VA Salt Lake City Health Care System
Salt Lake City, UT 84148
Mailing address
500 Foothill Drive
VA Salt Lake City Health Care System
Salt Lake City, UT 84148
Phone (801) 582-1565
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111588-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780627455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FOOTHILL DRIVE",
"address_2": "VA SALT LAKE CITY HEALTH CARE SYSTEM",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84148",
"telephone_number": "801-582-1565",
"fax_number": "801-584-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FOOTHILL DRIVE",
"address_2": "VA SALT LAKE CITY HEALTH CARE SYSTEM",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84148",
"telephone_number": "801-582-1565",
"fax_number": "801-584-2507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "111588-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.