Organization Active NPI

Susan J. Miller, PH.D., P.C.

  • Psychologist
  • Vail, CO
National Provider Identifier
1942490594
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
709 Issued in CO
Legal business name
SUSAN J. MILLER, PH.D., P.C.
Practice address
953 S Frontage Rd W
Ste. 202
Vail, CO 81657-5710
Phone
(970) 476-8469
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Susan Joyce MillerNPI 1427173780
Title
President
Phone
(970) 476-8469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 709 CO Primary

Addresses

Primary practice location

953 S Frontage Rd W
Ste. 202
Vail, CO 81657-5710

Mailing address

PO Box 5500
Avon, CO 81620-5500

National Provider Directory

National Provider Directory

Locations

953 S Frontage Rd W
Ste 202
Vail, CO 81657
Phone (970) 476-8469

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": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1942490594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 S FRONTAGE RD W",
            "address_2": "STE. 202",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575710",
            "telephone_number": "970-476-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J. MILLER, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-476-8469",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.