Organization Active NPI

Laura M. Miles, PH.D., Psychologist, PC

  • Psychologist
  • New York, NY
National Provider Identifier
1982990511
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
016747 Issued in NY
Legal business name
LAURA M. MILES, PH.D., PSYCHOLOGIST, PC
Practice address
211 E 43Rd St
Suite 2301
New York, NY 10017-4707
Phone
(917) 575-4701
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Laura M. Miles, PH.D.NPI 1811949936
Title
Psychologist
Phone
(917) 575-4701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 016747 NY Primary

Addresses

Primary practice location

211 E 43Rd St
Suite 2301
New York, NY 10017-4707

Mailing address

211 E 43Rd St
Suite 2301
New York, NY 10017-4707
Phone (917) 575-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000496 NY Part B Supplier - Clinic/Group Practice 7416126263 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

211 E 43rd St
Ste 2301
New York, NY 10017
Phone (212) 459-4018

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1982990511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST",
            "address_2": "SUITE 2301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "917-575-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 43RD ST",
            "address_2": "SUITE 2301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174707",
            "telephone_number": "917-575-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA M. MILES, PH.D., PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-575-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.