NPIMap

Organization Active NPI

Michael D. Miran, PH.D. Psychologist P.C.

  • Clinical Psychologist
  • Rochester, NY
National Provider Identifier
1811227671
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005412-1 Issued in NY
Legal business name
MICHAEL D. MIRAN, PH.D. PSYCHOLOGIST P.C.
Practice address
272 Sylvan Rd
Rochester, NY 14618-1342
Phone
(585) 473-3558
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Dr. Michael Daniel Miran, PH.D.
Title
President
Phone
(585) 473-3558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 005412-1 NY Primary

Addresses

Primary practice location

272 Sylvan Rd
Rochester, NY 14618-1342

Mailing address

272 Sylvan Rd
Rochester, NY 14618-1342
Phone (585) 473-3558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1811227671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 SYLVAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181342",
            "telephone_number": "585-473-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 SYLVAN RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181342",
            "telephone_number": "585-473-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. MIRAN, PH.D. PSYCHOLOGIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "MIRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-473-3558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005412-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.