Patricia Polanik Miller, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014323 Issued in NY

Practice address

1A Pine West PLZ
Pine Bush Mental Health, LLP
Albany, NY 12205-5556

Phone

(518) 862-1665

Fax

(518) 862-1668

NPI assigned

Dec 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Pine Bush Mental Health, LLP

  • Clinical Psychologist
  • Albany, NY
  • NPI 1962572362
  Authorized official Same address or phone

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831257740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A PINE WEST PLZ",
            "address_2": "PINE BUSH MENTAL HEALTH, LLP",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055556",
            "telephone_number": "518-862-1665",
            "fax_number": "518-862-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1A PINE WEST PLZ",
            "address_2": "PINE BUSH MENTAL HEALTH, LLP",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055556",
            "telephone_number": "518-862-1665",
            "fax_number": "518-862-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICIA",
        "middle_name": "POLANIK",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Llarra D Miller, PHARM D, RPH
• Lois M. Miller, DPM
• Meghan McKenna Miller, NP
• Mitchell Evan Miller, PHARM.D.
• Morgan Miller, OTR/L
• Sha'Mel Carrissa Miller, OTA
• Shannon Miller
• Stuart J Miller, MD
• Tami Andrews Miller
• Elizabeth Millett

• Clinical Psychologist in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.