DR. JOHN S MILLER (NPI# 1003819566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003819566 |
| Entity Type | Individual |
| Full Name | DR. JOHN S MILLER |
| Credential | PH.D. |
| Practice Address |
2055 Anderson Rd Davis CA 95616-0672 |
| Mailing Address |
Po Box 483 Davis CA 95617-0483 |
| Practice Telephone | 5307581580 |
| Practice Fax Number | 5307589869 |
| Mailing Telephone | 5307581580 |
| Mailing Fax Number | 5307589869 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14926 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY14926 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621715 | John Christopher Miller | Driver | 7530 Galveston Ave, Jacksonville, FL 32211-7825 | 2018-05-31 |
| 1194163501 | John Lee Miller IIi | Counselor | 46 Royal Dr, Piscataway, NJ 08854-3294 | 2013-06-07 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1306198205 | John Blake Miller | Emergency Medical Technician, Intermediate | 98-838 Noelani St, Apt. 101, Pearl City, HI 96782-3501 | 2012-10-03 |
| 1992088173 | John A Miller | Psychologist | 1081 Gloria Ave, Apt D, Lima, OH 45805-2996 | 2011-09-23 |
| 1265720346 | John F Miller | Dentist | 105 Nucleus Ave, Columbia Falls, MT 59912-4010 | 2011-07-11 |
| 1467751669 | John Clarke Miller | Pharmacist | 730 Seminole Rd, Norton Shores, MI 49441-4722 | 2011-03-28 |
| 1619126950 | John D. Miller | Dentist | 543 N State Road 135, Greenwood, IN 46142-1337 | 2008-09-11 |
| 1922274265 | John B. Miller | Pharmacist | 2341 Rockminster Rd, Lexington, KY 40509-1785 | 2008-05-06 |
| 1972789527 | John Kenneth Miller | Marriage & Family Therapist | 1414 Kincaid St, Suite 207, Eugene, OR 97401-3737 | 2008-01-14 |
| Street Address |
2055 ANDERSON RD |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-0672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738755 | Stewart E Teal Eva Peters Hunting & Jerry L Plummer Ptr | Psychologist | 2055 Anderson Rd, Davis, CA 95616-0672 | 2005-05-27 |
| 1093003774 | Katherine Comingore Miller | Social Worker | 2055 Anderson Rd, Davis, CA 95616-1210 | 2011-07-15 |
| 1811229099 | Huyen Kristina Friedlander-brannan | Marriage & Family Therapist | 2055 Anderson Rd, Davis, CA 95616-1210 | 2010-02-12 |
| 1356589550 | Katie Kurtovic | Marriage & Family Therapist | 2055 Anderson Rd, Davis, CA 95616-1210 | 2009-01-26 |
| 1760513113 | Teri A Drake | Counselor | 2055 Anderson Rd, Suite 5, Davis, CA 95616-0672 | 2007-03-08 |
| 1689726796 | Cynthia Yang | Social Worker | 2055 Anderson Rd, Ste. C, Davis, CA 95616-1210 | 2007-01-17 |
| 1154470219 | David Elliot Hartz | Chiropractor | 2055 Anderson Rd, Davis, CA 95616-0672 | 2007-01-09 |
| 1891807319 | Grace Chen | Marriage & Family Therapist | 2055 Anderson Rd, Davis, CA 95616-1210 | 2006-08-31 |
| 1386654325 | Hal A. Linebarger | Psychologist | 2055 Anderson Rd, Davis, CA 95616-1210 | 2006-08-09 |
| 1700811536 | Wendy Walker Davis | Psychologist | 2055 Anderson Rd, Davis, CA 95616-0672 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389912 | Daniel Suavengco Lumbres | Psychologist | 207 E St Unit B, Davis, CA 95616-4523 | 2019-11-06 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1295279883 | Acacia Psychological Corporation | Psychologist | 207 E St Ste B, Davis, CA 95616-4523 | 2016-12-15 |
| 1326338468 | Thomas Roe | Psychologist | One Shields Avenue, Davis, CA 95616 | 2011-04-11 |
| 1700033040 | Gordon Leroy Ulrey | Psychologist | 433 F Street, Davis, CA 95616 | 2008-08-19 |
| 1457528077 | Katie Pilgeram Cougevan | Psychologist | 621 4th St Ste 3, Davis, CA 95616-4151 | 2008-05-13 |
| 1275727554 | Norma Cole | Psychologist | 712 F St, Davis, CA 95616-3722 | 2007-08-30 |
| 1043435332 | Jerry G Balaban | Psychologist | 3000 Woods Cir, Davis, CA 95616-2678 | 2007-04-13 |
| 1528121571 | Louise G Bettner | Psychologist | 1903 Picasso Ave, Davis, CA 95616-0503 | 2006-12-19 |
| 1902969652 | Dafna Gatmon | Psychologist | 816 Hacienda Ave, Davis, CA 95616-0129 | 2006-12-17 |
| Find all providers in DAVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.