NPIMap

Organization Active NPI

Miller Psychological Associates LLC

  • Psychologist
  • Alpharetta, GA
National Provider Identifier
1831366004
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MILLER PSYCHOLOGICAL ASSOCIATES LLC
Doing business as
Miller Psychological associates LLC
Practice address
6740 Jamestown Dr
Suite 301
Alpharetta, GA 30005-3030
Phone
(404) 217-5792
Fax
(678) 513-0743
NPI assigned
May 15, 2008
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Sue Barrick Miller, PH.D.NPI 1043327612
Title
Director
Phone
(770) 833-9966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6740 Jamestown Dr
Suite 301
Alpharetta, GA 30005-3030

Mailing address

6740 Jamestown Dr
Alpharetta, GA 30005-3030
Phone (770) 833-9966

Other identifiers 3

IdentifierTypeStateIssuer
1336470780OtherGAKAREN TANTILLO LCSW
1043327612OtherGADR. SUE MILLER
1932312774OtherGASTACEY J. NYMAN, MS, NCC, LAPC

Other names 1

  • Miller Psychological associates LLC Doing business as

National Provider Directory

National Provider Directory

Locations

6740 Jamestown Dr
Ste 301
Alpharetta, GA 30005
Phone (404) 217-5792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1831366004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 JAMESTOWN DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053030",
            "telephone_number": "770-833-9966",
            "fax_number": "678-513-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 JAMESTOWN DR",
            "address_2": "SUITE 301",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053030",
            "telephone_number": "404-217-5792",
            "fax_number": "678-513-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "BARRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-833-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAREN TANTILLO LCSW",
            "identifier": "1336470780",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SUE MILLER",
            "identifier": "1043327612",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STACEY J. NYMAN, MS, NCC, LAPC",
            "identifier": "1932312774",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Psychological associates LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.