Active NPI
Quadreon Miller
- School Psychologist
- San Pablo, CA
National Provider Identifier
1841975802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 250155161
- Practice address
- 13585 San Pablo Ave FL 1
San Pablo, CA 94806-3863 - Phone
- (510) 942-4600
- NPI assigned
- Jun 19, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| School Psychologist | 103TS0200X | 250155161 | Primary |
Addresses
Primary practice location
13585 San Pablo Ave FL 1
San Pablo, CA 94806-3863
Mailing address
2650 Durant Ave # 313B
Berkeley, CA 94720-2274
Phone (505) 227-4962
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients |
Locations
13585 San Pablo Ave
Fl 1
San Pablo, CA 94806
Phone (510) 942-4600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- San Pablo, CA
- NPI 1508936188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1841975802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 DURANT AVE # 313B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947202274",
"telephone_number": "505-227-4962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13585 SAN PABLO AVE FL 1",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063863",
"telephone_number": "510-942-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "QUADREON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-19",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": "250155161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.