Nicole Marie-Poupeney Miller, HSPP

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

20042459A Issued in IN

Practice address

8495 Crater Lake Hwy
BLDG. 240 RM 109 -Mail Stop 116
White City, OR 97503

Phone

(541) 826-2111

Fax

(541) 830-3516

NPI assigned

Nov 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1942501705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "address_2": "BLDG. 240 RM 109 -MAIL STOP 116",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "97503",
            "telephone_number": "541-826-2111",
            "fax_number": "541-830-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "address_2": "BLDG. 240 RM 109 -MAIL STOP 116",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "97503",
            "telephone_number": "541-826-2111",
            "fax_number": "541-830-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICOLE",
        "middle_name": "MARIE-POUPENEY",
        "name_prefix": "Dr.",
        "credential": "HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20042459A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisa Mendelsohn
• Denisse Mendoza
• Sandi Meyer
• Rebecca Mickel, PA-C
• Megan Mickelson, THW DOULA
• Steven R Miller, PHARMD
• Gerald Montgomery
• Casey D Moore
• Jeremiah Zane Moore, DPT
• Colleen Morazan, RN

• Health Service Psychologist in White City, OR
• Providers in White City, OR by specialty
• Health Service Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.