DESIRAE PEROUZ MILLER


Address: 310 Harbor Blvd Bldg E, Belmont, CA 94002-4018
Phone: 6508026468

DESIRAE PEROUZ MILLER (NPI# 1588932248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588932248
Entity Type Individual
Full Name DESIRAE PEROUZ MILLER
Credential CADC-CAS
Practice Address 310 Harbor Blvd Bldg E
Belmont
CA 94002-4018
Mailing Address 124 27th Ave
San Mateo
CA 94403-2496
Practice Telephone 6508026468
Mailing Telephone 6504309867
Mailing Fax Number 6503558780
Enumeration Date 2011-12-09
Last Update Date 2019-06-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS C05591518 01
CA REGISTERED ADDICTION SPECIALIST INTERN (RASI) RI-M1104291258 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
480 Manor Plz, Pacifica, CA 940441839 6503558787 6503558780
550 Quarry Rd Fl 3rs, San Carlos, CA 940706221 6505086745

Other Providers DESIRAE MILLER

NPI Name Taxonomy Address Enumeration
1326507609 Desirae Miller Midwife, Lay 10 Rock St, Middletown, PA 17057-4644 2019-03-18

Office Location

Street Address 310 HARBOR BLVD BLDG E
City BELMONT
State CA
Zip Code 94002-4018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225465040 Mark Edward Ross Counselor 310 Harbor Blvd Bldg E, Belmont, CA 94002-4018 2013-10-11
1538506530 Stella Ka Yuen Chau Behavioral Analyst 310 Harbor Blvd Bldg E, Belmont, CA 94002-4018 2013-05-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740728740 Simon Hirschl Pathology 9 Kittie Lane, Belmont, CA 94002 2017-02-09
1902251028 Emma Yan Hiu Lee Chou Occupational Therapist 2410 Carlmont Dr, Belmont, CA 94002 2016-04-26
1740578087 The Latino Commisson Substance Abuse Rehabilitation Facility 401 Briarfield Way, Belmont, CA 94002 2011-07-20
1053624189 Pragya Jain Internal Medicine 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 2010-07-18
1194956425 Lilia Patricia Gallegos Marriage & Family Therapist 1 Davis Drive, Belmont, CA 94002 2009-08-04
1407099088 Dharmesh Patel Radiology 513 Seagate Way, Belmont, CA 94002 2009-04-13
1376688044 Paul M. Takla Dentist 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 2007-02-21
1487799987 Mark Joseph Mcmahon Physical Therapist 549 Ralson Avenue, Suite B, Belmont, CA 94002 2007-02-21
1639216112 Patricia Mary Wieser Nurse Practitioner 1541 Harbor Blvd, Belmont, CA 94002 2007-01-31
1063575157 Peninsula Specialty Care Dentist 562 Ralston Ave, Belmont, CA 94002 2006-12-19
Find all providers in zip 94002

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093322364 Northstar Wellness Associates Pllc Counselor 171 Daniel Webster Hwy Unit 11, Belmont, NH 03220-3053 2020-09-30
1033760376 Joshua Booth Counselor 41418 Stenger Road, Belmont, OH 43718-4371 2019-09-27
1063075620 Cassandre Noelle Durand Counselor 184 Fellows Hill Rd, Belmont, NH 03220-4498 2019-04-19
1871062877 Julie Ruano Counselor 1101 Village Dr Apt 2, Belmont, CA 94002-3445 2018-11-19
1104345883 Virginia Lucille Samuels Counselor 116 East Main Street, Belmont, OH 43718 2017-09-14
1568918985 Xavier Laporte-sanchez Counselor 125 Oak Trl, Belmont, NC 28012-2705 2016-08-26
1538556923 Lewis Chase II Counselor 6215 Maksimowski Ave Ne, Belmont, MI 49306-9700 2015-04-23
1295082543 Rogelio Salinas Jr. Counselor 2151 Carlmont Dr, #206, Belmont, CA 94002-3453 2012-08-06
1710263918 Nicole Lynne Siegel Counselor 27 Hermon St, Belmont, MA 02478-2624 2011-11-01
1972885598 Michelle Marie Watkins Counselor 32 N Main St Ste 204, Belmont, NC 28012 2011-09-10
Find all providers in BELMONT

Competitor

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City BELMONT
Zip Code 94002

Improve Information

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Dataset Information

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.

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