Active NPI
Megan Miller, MT-BC
- Developmental - Behavioral Pediatrics Physician
- Carlsbad, CA
National Provider Identifier
1861096000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 14819
- Practice address
- 5870 El Camino Real Ste 101
Carlsbad, CA 92008-8816 - Phone
- (760) 539-5818
- NPI assigned
- Nov 29, 2020
- Last updated
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 14819 | CA | Primary |
Addresses
Primary practice location
5870 El Camino Real Ste 101
Carlsbad, CA 92008-8816
Mailing address
5870 El Camino Real Ste 101
Carlsbad, CA 92008-8816
Phone (760) 539-5818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801288535 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14819 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortica Behavioral Health Inc | Past | Accepting new patients | |
| Cortica Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- San Diego, CA
- NPI 1528587250
-
dba Pediatric Neurology Therapeutics PC
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1861096000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 EL CAMINO REAL STE 101",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920088816",
"telephone_number": "760-539-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 EL CAMINO REAL STE 101",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920088816",
"telephone_number": "760-539-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MEGAN",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "14819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801288535",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.