John Thomas Miele, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4419 Issued in NJ

Practice address

301 S Livingston Ave
2ND FL--Acap
Livingston, NJ 07039-3932

Phone

(973) 464-9639

NPI assigned

Apr 24, 2007

Last updated

Mar 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: johnmiele@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Academy of Clinical and Applied Psychoanalysis

  dba North Jersey Consultation Center

  • Psychoanalysis Psychologist
  • Livingston, NJ
  • NPI 1528379880
  Authorized official Same address or phone
• John T Miele, PHD LLC

  • Clinical Psychologist
  • Livingston, NJ
  • NPI 1083907901
  NPD (past) Authorized official
• John T. Miele, PH.D.

  • Community/Behavioral Health Agency
  • Fort Lee, NJ
  • NPI 1154747582
  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567
  NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1821217340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DULLES DR",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076283620",
            "telephone_number": "973-464-9639",
            "fax_number": "201-338-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S LIVINGSTON AVE",
            "address_2": "2ND FL--ACAP",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393932",
            "telephone_number": "973-464-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELE",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "4419",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "4419",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NJ",
            "license": "4419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "4419",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Gutkin MD LLC
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• Michael S. Miller DDS PA
• Michael Zornitzer, M.D., P.a.
• Richard A Michaelson, MD
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• James Milano
• Miller Ophthalmology Associates LLC
• Deric Miller
• Michael Scott Miller, DDS

• Clinical Psychologist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.