Organization Active NPI

Miller Psychological Services LLC

  • Adult Mental Health Clinic/Center
  • Chambersburg, PA
National Provider Identifier
1881952927
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PS016882 Issued in PA
Legal business name
MILLER PSYCHOLOGICAL SERVICES LLC
Practice address
550 Cleveland Ave Ste 205
Chambersburg, PA 17201-3442
Phone
(717) 496-9438
Fax
(888) 827-7828
NPI assigned
Apr 26, 2012
Last updated
Apr 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Harold John Miller, ED. D.NPI 1518269729
Title
President/Ceo
Phone
(717) 496-9438

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
Adult Mental Health Clinic/Center 261QM0850X PS016882 PA Primary

Addresses

Primary practice location

550 Cleveland Ave Ste 205
Chambersburg, PA 17201-3442

Mailing address

550 Cleveland Ave Ste 205
Chambersburg, PA 17201-3442
Phone (717) 496-9438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120517000467 PA Part B Supplier - Clinic/Group Practice 7113180795 Receives reassigned benefits from 1 practitioner
Practice locations: Chambersburg, PA

National Provider Directory

National Provider Directory

Locations

550 Cleveland Ave
Ste 205
Chambersburg, PA 17201
Phone (717) 496-9438

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": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1881952927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CLEVELAND AVE STE 205",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013442",
            "telephone_number": "717-496-9438",
            "fax_number": "888-827-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CLEVELAND AVE STE 205",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013442",
            "telephone_number": "717-496-9438",
            "fax_number": "888-827-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "717-496-9438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED. D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "PS016882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.