Active NPI
Eva Miller, PHD
- Rehabilitation Psychologist
- Las Vegas, NV
National Provider Identifier
1982755799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- PY0772
- Practice address
- 3651 Lindell Rd
Ste D396
Las Vegas, NV 89103-1254 - Phone
- (956) 994-3880
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | PY0772 | NV | Primary |
Addresses
Primary practice location
3651 Lindell Rd
Ste D396
Las Vegas, NV 89103-1254
Mailing address
3651 Lindell Rd
Ste D396
Las Vegas, NV 89103-1254
Phone (956) 207-1725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1473233-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0772 | NV | MD | Rehabilitation Psychologist |
| 31545 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Psychological Services | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Current | Accepting new patients | |
| Cognitive Care Solutions Group Inc | Current | Accepting new patients | |
| Deer Oaks Geriatric Services P C | Past | Accepting new patients | |
| Deer Oaks Mental Health Associates PC | Past | Accepting new patients |
Locations
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120
2320 Ione Rd
Las Vegas, NV 89183
Phone (725) 200-3400
Organizations & group practices 5
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.
-
- Cognitive & Behavioral Psychologist
- Santa Ana, CA
- NPI 1548614183
NV
-
- Psychologist
- Las Vegas, NV
- NPI 1659934636
-
- Clinical Psychologist
- San Antonio, TX
- NPI 1134169287
-
- Clinical Psychologist
- Las Cruces, NM
- NPI 1134175763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1982755799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 LINDELL RD",
"address_2": "STE D396",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891031254",
"telephone_number": "956-207-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 LINDELL RD",
"address_2": "STE D396",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891031254",
"telephone_number": "956-994-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "EVA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NV",
"license": "PY0772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1473233-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.