MR. DOUGLAS MILLER JR. (NPI# 1114460003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114460003 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS MILLER JR. |
| Credential | MS.ED SCHOOL PSYCHOL |
| Practice Address |
379 Mt Hope Rd Middletown NY 10940-7135 |
| Mailing Address |
379 Mt Hope Rd Middletown NY 10940 |
| Practice Telephone | 8453442292 |
| Practice Fax Number | 8453422054 |
| Mailing Telephone | 8453442292 |
| Mailing Fax Number | 8453422054 |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
156033021 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982015566 | Douglas Miller | Registered Nurse | 1 Navy Hill, Saipan, MP 96950 | 2014-05-16 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1063627560 | Douglas S Miller | Dentist | 452 Stony Ridge Road, Suite 214, Heber Springs, AR 72543 | 2007-05-10 |
| 1922147495 | Douglas C. Miller | Chiropractor | 3739 Wilkens Ave, Baltimore, MD 21229-5035 | 2007-02-05 |
| 1982636031 | Douglas G Miller | Ophthalmology | 225 W Madison Avenue, Ste 2, El Cajon, CA 92020 | 2006-07-07 |
| 1396772877 | Douglas M Miller | Chiropractor | E 604 1st Ave. N, Columbus, MT 59019-1031 | 2006-06-28 |
| 1073596193 | Douglas Christian Miller | Otolaryngology | 2151 W Spring St Ste B120, Monroe, GA 30655-3210 | 2005-11-22 |
| 1902899073 | Douglas Dean Miller | Nurse Practitioner | 1014 Elm Ave, Rocky Ford, CO 81067-1328 | 2005-08-24 |
| 1356817258 | Douglas Miller | Counselor | 3180 Airport Rd, Boulder, CO 80301-2208 | 2018-10-17 |
| 1881133023 | Douglas Todd Miller | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2017-02-21 |
| Street Address |
379 MT HOPE RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578704425 | Marie D Prokopchak | Physical Therapist | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2009-03-23 |
| 1285249227 | Carina Martinez | Physical Therapy Assistant | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2020-09-15 |
| 1922542042 | Jessica Forseth | Physical Therapy Assistant | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2016-12-08 |
| 1255889390 | Maureen Mcgrade | Occupational Therapy Assistant | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2016-09-19 |
| 1588028260 | Ryan Herp | Occupational Therapy Assistant | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2016-04-08 |
| 1376904847 | Alicia Lynn Lopez | Physical Therapy Assistant | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2016-03-11 |
| 1649637695 | Jessica Noelle Horwath | Speech-Language Pathologist | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2016-01-21 |
| 1730557935 | Jeanne Lancer | Occupational Therapist | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2015-09-04 |
| 1649669540 | Leslie Rae Danner | Psychologist | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2015-01-15 |
| 1639571466 | Cortney Hutting | Occupational Therapy Assistant | 379 Mt Hope Rd, Middletown, NY 10940-7135 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554791 | Emily Neubauer | Psychologist | 1811 Lake Seymour Dr, Middletown, DE 19709-4686 | 2020-10-08 |
| 1225648645 | Jennifer T. Mascolo | Psychologist | 18 Kings Hwy Ste 109, Middletown, NJ 07748-2509 | 2020-08-01 |
| 1982213252 | Ashley Manion | Psychologist | 1817 Lake Seymour Dr, Middletown, DE 19709-4686 | 2020-07-23 |
| 1609290618 | Kimberly Tamaska | Psychologist | 1300 Oxford State Rd, Middletown, OH 45044-7580 | 2014-02-11 |
| 1780862714 | Chet Hadley | Psychologist | 504 S Broad St, Middletown, DE 19709-1443 | 2008-02-01 |
| 1295346831 | Melissa Dorothy Bertuccio | Psychologist | 75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010 | 2020-08-16 |
| 1649717174 | Allen Glassmire | Psychologist | 1516 1st Ave, Middletown, OH 45044-4124 | 2017-01-23 |
| 1174067300 | Melodie Metze | Psychologist | 1 Donham Plz, Middletown, OH 45042-1932 | 2016-12-07 |
| 1902354004 | Lisa Lopez | Psychologist | 1210 S Verity Pkwy, Middletown, OH 45044-5611 | 2016-09-17 |
| 1598123093 | Ronald Cameron Jr. | Psychologist | 1 Donham Plz Fl 4, Middletown, OH 45042-1932 | 2016-01-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.