Organization Active NPI

Barbara J. Miller, M.D., P.C.

  • Psychiatry Physician
  • East Syracuse, NY
National Provider Identifier
1871647644
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
105076 Issued in NY
Legal business name
BARBARA J. MILLER, M.D., P.C.
Practice address
5800 Heritage Landing Dr
Suite E
East Syracuse, NY 13057-9378
Phone
(315) 472-8721
Fax
(315) 472-2513
NPI assigned
Jan 22, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Barbara J Miller, M.D.NPI 1437255189
Title
President
Phone
(315) 472-8721

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 105076 NY Primary

Addresses

Primary practice location

5800 Heritage Landing Dr
Suite E
East Syracuse, NY 13057-9378

Mailing address

5800 Heritage Landing Dr
Suite E
East Syracuse, NY 13057-9378
Phone (315) 472-8721

Other identifiers 1

IdentifierTypeStateIssuer
00721953MedicaidNY

National Provider Directory

National Provider Directory

Locations

5800 Heritage Landing Dr
Ste E
East Syracuse, NY 13057
Phone (315) 472-7885

300 Burnet Ave
Syracuse, NY 13203
Phone (315) 471-5677

Practitioners & affiliated clinicians

Practitioners 12

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1871647644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HERITAGE LANDING DR",
            "address_2": "SUITE E",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-472-8721",
            "fax_number": "315-472-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HERITAGE LANDING DR",
            "address_2": "SUITE E",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-472-8721",
            "fax_number": "315-472-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA J. MILLER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-472-8721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "105076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00721953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.