Individual provider Active NPI

Paula Dianne Miltenberger, PHD

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1952553612
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33947 Issued in TX
Practice address
5949 Sherry LN Ste 752
Dallas, TX 75225-6532
Phone
(214) 890-9880
Fax
(214) 890-0993
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33947 TX Primary

Addresses

Primary practice location

5949 Sherry LN Ste 752
Dallas, TX 75225-6532

Mailing address

9101 N Central Expy
Suite 580
Dallas, TX 75231-5927
Phone (214) 890-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Miltenberger & Liland PLLC CurrentSince Aug 30, 2020 Accepting new patients
See Life Inc Clinical Past Accepting new patients
Paula Miltenberger, PH.D., PA Clinical Past Accepting new patients

Locations

5949 Sherry Ln
Ste 752
Dallas, TX 75225
Phone (214) 683-7631

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1952553612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 N CENTRAL EXPY",
            "address_2": "SUITE 580",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315927",
            "telephone_number": "214-890-9880",
            "fax_number": "214-890-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 SHERRY LN STE 752",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256532",
            "telephone_number": "214-890-9880",
            "fax_number": "214-890-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBERGER",
        "first_name": "PAULA",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.