Candice Miller

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403313 Issued in NY

Practice address

2922 Harvey Ave
Oceanside, NY 11572-3417

Phone

(516) 445-6242

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1811586464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 HARVEY AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 HARVEY AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723417",
            "telephone_number": "516-445-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CANDICE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmiller08@lions.molloy.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2922 Harvey Ave",
            "city": "Oceanside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115723417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adara Mifsud, PA-C
• Gabriella Dianna Mihale, OTR/L
• Linda Ellen Mihale, P.T.A.
• Angela Anne Miller
• Ann Marie Miller, M.S. ED.
• Misako Miller, RN/IBCLC
• Victor Milloul, M.D., M.SC
• Yehoshua Mirkin, MD
• Brigitte Napoli Misitano
• Steven Mitchnick, D.M.D.

• Psychiatric/Mental Health Nurse Practitioner in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.