MRS. ELYSE AMY MILLER (NPI# 1073684882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073684882 |
| Entity Type | Individual |
| Full Name | MRS. ELYSE AMY MILLER |
| Credential | LCAT |
| Practice Address |
1000 Park Blvd Unit F Massapequa Park NY 11762-2740 |
| Mailing Address |
22 Wagon Ln Levittown NY 11756-4112 |
| Practice Telephone | 5169842712 |
| Mailing Telephone | 5167358891 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
000021 | NY | Behavioral Health & Social Service Providers |
| X | 221700000X | Art Therapist | 000021-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912246687 | Elyse Miller | Social Worker | 1818 Club Rd, Apt 3, Charlotte, NC 28205-3600 | 2013-01-31 |
| 1568640431 | Elyse Miller | Social Worker | 101 Grove St Rm 323, San Francisco, CA 94102-4505 | 2008-02-04 |
| 1053977082 | Elyse Christine Miller | Nurse Anesthetist, Certified Registered | 8140 N Mopac Expy Ste 3-210, Austin, TX 78759-8859 | 2019-05-15 |
| 1528575446 | Elyse Howard Miller | Speech-Language Pathologist | 2701 Chestnut Station Ct, Louisville, KY 40299-6395 | 2017-12-30 |
| 1104356344 | Elyse L Miller | Audiologist | 11635 Euclid Ave, Cleveland, OH 44106 | 2017-06-19 |
| Street Address |
1000 PARK BLVD UNIT F |
| City | MASSAPEQUA PARK |
| State | NY |
| Zip Code | 11762-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280374 | Rachel Eljashev | Ophthalmology | 115 Charles Ave, Massapequa Park, NY 11762 | 2018-10-01 |
| 1366937567 | Samantha Marie Larosa | Social Worker | 652 Willoughby Avenue, Bushwick, NY 11762 | 2018-06-29 |
| 1023532447 | Hugo H Lopez | Counselor | 4770 Sunrise Highway, Massapequa Park, NY 11762 | 2017-07-27 |
| 1891155735 | Kayla Marie Vanguilder | Counselor | 208 Grover Ave W, Massapequa Park, NY 11762 | 2016-03-04 |
| 1093191009 | Mary Margaret Zeller | Case Management | 7 Townhouse Dr, Massapequa Park, NY 11762 | 2015-08-03 |
| 1114323250 | Kristen Price | Occupational Therapist | 21 Herbert Ave, Massapequa Park, NY 11762 | 2014-11-18 |
| 1871902296 | Suzanna Lynn Diaquoi | Registered Nurse | 24 Brendan Avenue, Massapequa Park, NY 11762 | 2014-08-11 |
| 1649605338 | Stacey Leo | Behavioral Analyst | 190 S Park Dr, Massapequa Park, NY 11762 | 2013-09-12 |
| 1255685459 | Jennifer M Salorio | Speech-Language Pathologist | 29 Westwood Rd S, Massapequa Park, NY 11762 | 2012-11-09 |
| 1962759803 | Erica Lori Brown | Specialist | 145 Eastgate Road, Massapequa Park, NY 11762 | 2012-08-09 |
| Find all providers in zip 11762 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158485 | Kellyanne Brady | Counselor | 425 2nd Ave, Massapequa Park, NY 11762-1500 | 2019-01-15 |
| 1891155735 | Kayla Marie Vanguilder | Counselor | 208 Grover Ave W, Massapequa Park, NY 11762 | 2016-03-04 |
| 1134733454 | Mary Rose Starke | Counselor | 4770 Sunrise Hwy Ste 102, Massapequa Park, NY 11762-2911 | 2020-09-03 |
| 1376906214 | Stephanie Lauer | Counselor | 4770 Sunrise Hwy, Ste. 105, Massapequa Park, NY 11762-2911 | 2016-03-29 |
| 1841659471 | Lauren Diamond | Counselor | 4770 Sunrise Hwy, Suite 105, Massapequa Park, NY 11762-2911 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
| City | MASSAPEQUA PARK |
| Zip Code | 11762 |
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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.