Organization Active NPI

Dorit Miller PSYD ,, a Psychological Corporation

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1972735405
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18237 Issued in CA
Legal business name
DORIT MILLER PSYD ,, A PSYCHOLOGICAL CORPORATION
Practice address
2001 S Barrington Ave
Suite # 110
Los Angeles, CA 90025-5363
Phone
(310) 485-1515
Fax
(310) 477-4688
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Dorit Miller, PSYD
Title
Owner
Phone
(310) 485-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY18237 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave
Suite # 110
Los Angeles, CA 90025-5363

Mailing address

2001 S Barrington Ave
Suite # 110
Los Angeles, CA 90025-5363
Phone (310) 485-1515

Other identifiers 1

IdentifierTypeStateIssuer
PSY18237OtherCACALIFORNIA LICENCE

National Provider Directory

National Provider Directory

Locations

12400 Wilshire Blvd
Ste 230
Los Angeles, CA 90025
Phone (310) 266-6395

12400 Wilshire Blvd
Ste 23
Los Angeles, CA 90025
Phone (310) 266-6395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1972735405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE # 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-485-1515",
            "fax_number": "310-477-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "SUITE # 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-485-1515",
            "fax_number": "310-477-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORIT MILLER PSYD ,, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DORIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-485-1515",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENCE",
            "identifier": "PSY18237",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.