Active NPI
Marian L Miller PSYD Inc
- Clinical Psychologist
- Kailua, HI
National Provider Identifier
1992897961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marian Louise Miller, PSYD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190222002178 | HI | Part B Supplier - Clinic/Group Practice | 6709125586 |
Receives reassigned benefits from 1 practitioner Practice locations: Kailua, HI |
National Provider Directory
National Provider DirectoryPractitioners & 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.