Organization Active NPI

Michael G. Miller, PH.D., LLC

  • Clinical Psychologist
  • Colts Neck, NJ
National Provider Identifier
1861703415
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MICHAEL G. MILLER, PH.D., LLC
Practice address
21 Route 537 E
Colts Neck, NJ 07722-2510
Phone
(908) 839-7913
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Michael Gary Miller, PH.D.
Title
Owner
Phone
(908) 839-7913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

21 Route 537 E
Colts Neck, NJ 07722-2510

Mailing address

107 N Hemlock LN
P.O. Box 223
Greentown, PA 18426-0223
Phone (908) 839-7193

National Provider Directory

National Provider Directory

Locations

399 Clove Rd
Montague, NJ 07827
Phone (908) 839-7913

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1861703415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N HEMLOCK LN",
            "address_2": "P.O. BOX 223",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "184260223",
            "telephone_number": "908-839-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ROUTE 537 E",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222510",
            "telephone_number": "908-839-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. MILLER, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-839-7913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.