DR. MARIE M MILLER (NPI# 1164723409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164723409 |
| Entity Type | Individual |
| Full Name | DR. MARIE M MILLER |
| Credential | PSY.D. |
| Practice Address |
3701 Durand Ave Suite 325 Racine WI 53405-4458 |
| Practice Telephone | 2624964277 |
| Mailing Telephone | 2624964277 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2831-057 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790315000 | Marie Miller | Counselor | 601 N Olive St, Media, PA 19063-2548 | 2020-01-26 |
| 1922590314 | Marie Miller | Music Therapist | 13a Morse St, Berwick, ME 03901-2233 | 2018-06-01 |
| 1427296789 | Marie T. Miller | Occupational Therapy Assistant | 3490 Four Mile Rd, Menard, TX 76859-4111 | 2009-01-25 |
| 1821457896 | Marie Lorraine Miller | Occupational Therapist | 20000 Victor Pkwy, Suite 100, Livonia, MI 48152-7029 | 2016-02-18 |
| 1255683645 | Marie Miller | Physical Therapy Assistant | 2373 Harrison Ave, Cincinnati, OH 45211-7927 | 2012-10-09 |
| 1255615415 | Marie Suzanne Miller | Social Worker | 3301 Green St, Claymont, DE 19703-2052 | 2011-10-06 |
| 1295039287 | Marie A Miller | Psychologist | 1400 Emeline Ave Bldg K, Santa Cruz, CA 95060-1976 | 2011-01-05 |
| 1245359264 | Marie Miller | Specialist/Technologist, Other | 1345 Unity Pl, Suite 235, Lafayette, IN 47905-5760 | 2007-03-29 |
| 1184710139 | Marie Miller | Social Worker | 201 Mulholland, Bay City, MI 48708 | 2006-10-05 |
| Street Address |
3701 DURAND AVE SUITE 325 |
| City | RACINE |
| State | WI |
| Zip Code | 53405-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981796 | Donald M Jacobson | Psychiatry & Neurology | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2005-12-05 |
| 1841556529 | Katy Margaret Tomczak | Chiropractor | 3701 Durand Ave, Suite 145, Racine, WI 53405-4458 | 2012-04-06 |
| 1356584932 | Boho Pain Management and Rehabilitation LLC | Clinic/Center | 3701 Durand Ave, Racine, WI 53405-4458 | 2009-04-13 |
| 1689735680 | Nancy G Stoewe Dc Sc | Chiropractor | 3701 Durand Ave, #415, Racine, WI 53405-4458 | 2006-12-13 |
| 1134288392 | Tammy Lynn Zimmel | Psychologist | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104052554 | Anthony Donald Wendorf | Psychologist | 840 Lake Avenue, Suite 101, Racine, WI 53403-1550 | 2009-05-29 |
| 1760696074 | Joyce Shirley Degenhart | Psychologist | 11 Greenwood Ct, Racine, WI 53402-1248 | 2007-05-09 |
| 1477623643 | Psychological & Counseling Services Inc | Psychologist | 6929 Mariner Dr Unit D, Racine, WI 53406-3938 | 2006-11-08 |
| 1033295571 | Russell William Kinkade Jr. | Psychologist | 6214 Washington Avenue, Suite C 10, Racine, WI 53406 | 2006-10-27 |
| 1326310459 | Rondi J Rork Phd LLC | Psychologist | 6015 Durand Ave, Suite 450, Racine, WI 53406-5089 | 2012-02-06 |
| 1558577395 | Martin James Poe | Psychologist | 5200 Washington Ave, Suite 203, Racine, WI 53406-4238 | 2007-05-16 |
| 1437377900 | Shamin Catherine Jaffer Ladhani | Psychologist | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2007-04-23 |
| 1669695136 | Jill M Peterson | Psychologist | 3801 Spring St, Racine, WI 53405-1667 | 2007-04-11 |
| 1134288392 | Tammy Lynn Zimmel | Psychologist | 3701 Durand Ave, Suite 325, Racine, WI 53405-4458 | 2006-12-06 |
| 1316021405 | D Martin Hayden | Psychologist | 840 Lake Ave, Racine, Racine, WI 53403-1566 | 2006-10-25 |
| Find all providers in RACINE | ||||
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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.