Active NPI
Bryan Miller
- School Psychologist
- North East, MD
National Provider Identifier
1821995598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- CN-241431-19E305
- Practice address
- 301 E Thomas Ave
North East, MD 21901-4039 - Phone
- (410) 996-6220
- NPI assigned
- Oct 24, 2026
- Last updated
- Oct 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CN-241431-19E305 | MD | Primary |
Addresses
Primary practice location
301 E Thomas Ave
North East, MD 21901-4039
Mailing address
1122 Thebes Dr
Bel Air, MD 21015-2023
Phone (443) 910-0408
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792800000000",
"number": "1821995598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 THEBES DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210152023",
"telephone_number": "443-910-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E THOMAS AVE",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219014039",
"telephone_number": "410-996-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-24",
"last_updated": "2026-10-24",
"certification_date": "2026-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MD",
"license": "CN-241431-19E305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North East, MD
- Maryland Sportscare & Rehab LLC (Pivot Physical Therapy of Maryland)
- Mark Mathews, MA, LGPC, NCC
- Jeffrey Eades Maupin, P. T.
- Stephanie Lynne McCardell, LCSW-C
- Kenduanyi Menkem
- Kathleen Miller, PT
- Tyler Francis Miller
- Taylor Minderlein, ATC
- MNR Industries, LLC (ExpressCare of North East)
- Moa Psychiatric Practice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.