Active NPI
Carol Lee Miller, SPT
- Licensed Psychiatric Technician
- Oroville, CA
National Provider Identifier
1821162322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT23308
- Practice address
- 18 County Center Drive
Oroville, CA 95965 - Phone
- (530) 538-7705
- Fax
- (530) 538-2161
- NPI assigned
- Nov 17, 2006
- 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 |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT23308 | CA | Primary |
Addresses
Primary practice location
18 County Center Drive
Oroville, CA 95965
Mailing address
PO Box 471
Bangor, CA 95914
Phone (530) 679-0862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT23308 | Other | CA | PSYCHIATRIC TECHNICIAN |
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 |
|---|---|---|---|
| PT23308 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1821162322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 471",
"city": "BANGOR",
"state": "CA",
"postal_code": "95914",
"telephone_number": "530-679-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 COUNTY CENTER DRIVE",
"city": "OROVILLE",
"state": "CA",
"postal_code": "95965",
"telephone_number": "530-538-7705",
"fax_number": "530-538-2161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CAROL",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "SPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT23308",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHIATRIC TECHNICIAN",
"identifier": "PT23308",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.