Active NPI
David A. Miller, PHD
- Psychologist
- Overland Park, KS
National Provider Identifier
1780701771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 671
- Practice address
- 8575 W 110TH St
Suite 218
Overland Park, KS 66210-2620 - Phone
- (913) 345-0033
- Fax
- (913) 345-0177
- NPI assigned
- Mar 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 671 | KS | Primary |
| Health Service Psychologist | 103TH0100X | 01279 | MO |
Addresses
Primary practice location
8575 W 110TH St
Suite 218
Overland Park, KS 66210-2620
Mailing address
8575 W 110TH St
Suite 218
Overland Park, KS 66210-2620
Phone (913) 345-0033
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 493440705 | Medicaid | MO | |
| 4957144501 | Medicaid | KS |
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 |
|---|---|---|---|
| 671 | KS | MD | Addiction (Substance Use Disorder) Counselor |
| 01279 | MO | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Christian Counseling Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- Kansas City, MO
- NPI 1942393541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1780701771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 W 110TH ST",
"address_2": "SUITE 218",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102620",
"telephone_number": "913-345-0033",
"fax_number": "913-345-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 W 110TH ST",
"address_2": "SUITE 218",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102620",
"telephone_number": "913-345-0033",
"fax_number": "913-345-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DAVID",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "671",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MO",
"license": "01279",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "493440705",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4957144501",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.