DR. SHANNON R. MILES (NPI# 1578854055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578854055 |
| Entity Type | Individual |
| Full Name | DR. SHANNON R. MILES |
| Other Name | SHANNON M. REYNOLDS |
| Credential | PH.D. |
| Practice Address |
2002 Holcombe Blvd Veterans Affairs Medical Center (152) Houston TX 77030-4211 |
| Practice Telephone | 7134404612 |
| Mailing Telephone | 7134404612 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256378 | Shannon Raquel Miles | Nursing Facility/Intermediate Care Facility | 12341 W Corrine Dr, El Mirage, AZ 85335-5224 | 2019-07-03 |
| 1215112453 | Shannon Marie Miles | Marriage & Family Therapist | 325 E Shore Dr, Suite 120, Eagle, ID 83616-6583 | 2008-01-07 |
| 1477038180 | Shannon Amber Miles | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-09-27 |
| Street Address |
2002 HOLCOMBE BLVD VETERANS AFFAIRS MEDICAL CENTER (152) |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488290 | Gayathri Bhagwath | Internal Medicine | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2005-06-21 |
| 1023615143 | Aji Sam | Nurse Practitioner | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-10-01 |
| 1639785280 | Jessie Ho | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-18 |
| 1326653437 | Stacey Edwards | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-15 |
| 1104431436 | Jessica Taylor Honkomp | Genetic Counselor, MS | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-09-14 |
| 1205449360 | Holly Denise Robertson | Registered Nurse | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-28 |
| 1033720933 | Alana Rice | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1033720925 | Noelle Marie Cordova | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1679184568 | Khushbu A Patel | Pharmacist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-13 |
| 1336750314 | Melissa Lorraine Alvarez | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2020-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1740818921 | Peter Simione | Psychologist | 7887 San Felipe St Ste 248, Houston, TX 77063-1621 | 2020-04-01 |
| 1316573629 | Tim Weissman | Psychologist | 9144 Spring Branch Dr Ste 103, Houston, TX 77080-7427 | 2020-03-18 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1922649334 | Amanda Rae Richter | Psychologist | 17030 Nanes Dr Ste 209, Houston, TX 77090-2533 | 2019-10-07 |
| 1962062018 | Michael Ralph Winters | Psychologist | 3435 Branard St Ste 202, Houston, TX 77027-6031 | 2019-06-19 |
| 1265998009 | Winsome Health Clinical Management LLC | Psychologist | 2925 Richmond Ave Ste 1200, Houston, TX 77098-3143 | 2019-02-18 |
| 1679046197 | Denis T Flanigan | Psychologist | 2211 Norfolk St Ste 206, Houston, TX 77098-4030 | 2019-01-08 |
| 1487129409 | Anita Payan | Psychologist | 6655 Travis St Ste 880, Houston, TX 77030-1344 | 2018-10-05 |
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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.