DR. KELLI CALDWELL MILLER (NPI# 1205185352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205185352 |
| Entity Type | Individual |
| Full Name | DR. KELLI CALDWELL MILLER |
| Other Name | KELLI ANN CALDWELL |
| Credential | PH.D. |
| Practice Address |
101 Broad St Plattsburgh NY 12901-2637 |
| Practice Telephone | 5185643380 |
| Practice Fax Number | 5185643397 |
| Mailing Telephone | 5185643380 |
| Mailing Fax Number | 5185643397 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 023581 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
023581 | NY | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
023581 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6350 W Andrew Johnson Hwy, Talbott, TN 378778605 | 4235877337 | 4235860614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952777666 | Kelli Miller | Nurse Practitioner | 3904 16th St, Moline, IL 61265-1275 | 2015-08-17 |
| 1376943589 | Kelli Miller | Speech-Language Pathologist | 2688 Hunters Point Dr, Wexford, PA 15090-7991 | 2014-08-26 |
| 1235423625 | Kelli L Miller | Licensed Practical Nurse | 230 Colgate Ave, Dayton, OH 45417-8947 | 2011-06-03 |
| 1265670970 | Kelli Miller | Registered Nurse | 3190 Caralee Dr, Columbus, OH 43219-3206 | 2009-02-03 |
| 1154450062 | Kelli Nicole Miller | Acupuncturist | 3314 Mesa Rd, Colorado Springs, CO 80904-1036 | 2007-03-05 |
| 1124521349 | Kelli Miller | Social Worker | 455 E Mound St, Columbus, OH 43215-5595 | 2018-03-14 |
| 1356876080 | Kelli Miller | Counselor | 847 Ne 19th Ave Ste 100, Portland, OR 97232 | 2017-05-01 |
| 1164968749 | Kelli Jo Miller | Nurse Practitioner | 5680 Nc Highway 42 W, Garner, NC 27529-8120 | 2017-01-06 |
| 1811340789 | Kelli Miller | Dietitian, Registered | 135 Rutledge Ave, Msc 561, Charleston, SC 29425-8903 | 2016-07-15 |
| 1407251333 | Kelli Miller | Counselor | 2117 S Glenburnie Rd, New Bern, NC 28562-2280 | 2014-11-04 |
| Street Address |
101 BROAD ST |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775768 | Lisa Ann Vicencio | Specialist/Technologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2019-11-19 |
| 1720475239 | Valarie Lynn Drown | Counselor | 101 Broad St, 260 Beaumont Hall, Plattsburgh, NY 12901-2637 | 2015-04-22 |
| 1093115107 | Laci Charette | Psychologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2014-08-26 |
| 1780006320 | Amanda Goodfellow | Social Worker | 101 Broad St, Research Foundation of Suny, Plattsburgh, NY 12901-2637 | 2014-01-16 |
| 1982971941 | Plattsburgh State University | Psychologist | 101 Broad St, Beamont 404, Plattsburgh, NY 12901-2637 | 2011-11-18 |
| 1932424207 | Jason A. Pachter | Specialist/Technologist | 101 Broad St, Plattsburgh, NY 12901-2637 | 2010-03-30 |
| 1780851154 | Cindy Lou Clifford-ledyard | Speech-Language Pathologist | 101 Broad St, Sibley 224, Plattsburgh, NY 12901-2637 | 2008-05-14 |
| 1295910552 | Vera S Delorme | Speech-Language Pathologist | 101 Broad St, 224 Sibley Hall, Plattsburgh, NY 12901-2637 | 2008-01-07 |
| 1487852687 | Patrick Coppens | Speech-Language Pathologist | 101 Broad St, 224 Sibley Hall, Plattsburgh, NY 12901-2637 | 2007-07-10 |
| 1659572683 | Harvey Ira Hurwitz | Internal Medicine | 101 Broad St, Plattsburgh, NY 12901-2637 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1396095121 | Brigitte Louise Phillips | Psychologist | 427 Margaret Street, Plattsburgh, NY 12901 | 2012-09-19 |
| 1588802854 | Judith Mcdonald | Psychologist | 427 Margaret St, Plattsburgh, NY 12901-1707 | 2009-01-26 |
| 1992959241 | Mindy Beth Fay | Psychologist | 427 Margaret St, Plattsburgh, NY 12901-1707 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
Please comment or provide details below to improve the information on DR. KELLI CALDWELL MILLER.
| 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.