Individual provider Active NPI

Trisha R Miller, PH.D.

  • Clinical Psychologist
  • Flat Rock, NC
National Provider Identifier
1992857270
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PP2526 Issued in NC
Practice address
580 Upward Rd
Unit 1
Flat Rock, NC 28731-8592
Phone
(828) 696-3531
Fax
(828) 696-0952
NPI assigned
Jan 17, 2007
Last updated
Jul 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2526 NC
Clinical Psychologist 103TC0700X PP2526 NC Primary

Addresses

Primary practice location

580 Upward Rd
Unit 1
Flat Rock, NC 28731-8592

Mailing address

580 Upward Rd
Unit 1
Flat Rock, NC 28731-8592
Phone (828) 696-3531

Other identifiers 3

IdentifierTypeStateIssuer
2088658OtherNCCIGNA BEHAVIORAL HEALTH
015R6OtherNCBCBS OF NC
6000144MedicaidNC

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2526NCMDAddiction (Substance Use Disorder) Counselor
PP2526NCMDClinical Psychologist

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1992857270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 UPWARD RD",
            "address_2": "UNIT 1",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318592",
            "telephone_number": "828-696-3531",
            "fax_number": "828-696-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 UPWARD RD",
            "address_2": "UNIT 1",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318592",
            "telephone_number": "828-696-3531",
            "fax_number": "828-696-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRISHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2526",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "PP2526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2088658",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "015R6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000144",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.