Organization Active NPI

Marian L Miller PSYD Inc

  • Clinical Psychologist
  • Kailua, HI
National Provider Identifier
1992897961
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY647 Issued in HI
Legal business name
MARIAN L MILLER PSYD INC
Practice address
1454 Akeke PL
Kailua, HI 96734-4218
Phone
(808) 262-3345
Fax
(808) 262-1017
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Dr. Marian Louise Miller, PSYDNPI 1457364010
Title
President
Phone
(808) 262-3345

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY647 HI Primary

Addresses

Primary practice location

1454 Akeke PL
Kailua, HI 96734-4218

Mailing address

1454 Akeke PL
Kailua, HI 96734-4218
Phone (808) 262-3345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222002178 HI Part B Supplier - Clinic/Group Practice 6709125586 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua, HI

National Provider Directory

National Provider Directory

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1992897961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 AKEKE PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344218",
            "telephone_number": "808-262-3345",
            "fax_number": "808-262-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 AKEKE PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344218",
            "telephone_number": "808-262-3345",
            "fax_number": "808-262-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN L MILLER PSYD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-262-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.