DR. THOMAS G MILLER (NPI# 1720094477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720094477 |
| Entity Type | Individual |
| Full Name | DR. THOMAS G MILLER |
| Credential | PH.D. |
| Practice Address |
86 Dartmouth St Portland ME 04103-4808 |
| Practice Telephone | 2077737406 |
| Mailing Telephone | 2077737406 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS1042 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 231050000 | 05 | |
| ME | ANTHEM BC/BS PROVIDER ID | 035275 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700387313 | Thomas Joseph Miller | Counselor | 191 N. Nc 41, Beulaville, NC 28518 | 2018-02-28 |
| 1760901177 | Thomas Ross Miller | Specialist/Technologist | 7 Independence Place, Bluffton, SC 29910 | 2017-09-18 |
| 1407173347 | Thomas Joseph Miller Jr. | Family Medicine | 308 E Long St, Claxton, GA 30417-1412 | 2010-05-03 |
| 1033435763 | Thomas R Miller | Counselor | 508 Hummingbird Dr, Lititz, PA 17543-1314 | 2010-04-20 |
| 1740512391 | Thomas Jon Miller | Nurse Anesthetist, Certified Registered | 15 Gilmore Ter, West Roxbury, MA 02132-2614 | 2010-02-08 |
| 1477718435 | Thomas Nolan Miller | Dentist | 4371 Highway 24, Anderson, SC 29626-5214 | 2008-07-18 |
| 1396921193 | Thomas M Miller | Obstetrics & Gynecology | 201 Monroe St Ste 983, Montgomery, AL 36104-3735 | 2008-01-11 |
| 1780883405 | Thomas A Miller | Pediatrics | 71 Us Route 1 Ste C, Scarborough, ME 04074-7174 | 2007-07-12 |
| 1578773313 | Thomas Wesley Miller | Dentist | 111 W Glover St, Ottawa, IL 61350-3931 | 2007-05-23 |
| 1336206200 | Thomas E Miller | Counselor | 53 S Ridge Rd, Pomona, NY 10970-2105 | 2007-01-02 |
| Street Address |
86 DARTMOUTH ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689793226 | Jeff Thomal Tidd | Counselor | 86 Dartmouth St, Portland, ME 04103-4808 | 2007-03-28 |
| 1386652634 | Richard G Doiron | Psychologist | 86 Dartmouth St, Portland, ME 04103-4808 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801098090 | Nancy Loss | Clinical Neuropsychologist | 2223 Ne 47th Avenue, Portland, OR 97213 | 2007-06-01 |
| 1346457017 | Mark Gregory Kiefner | Clinical Neuropsychologist | 26 Portland Street, Portland, ME 04101 | 2007-05-16 |
| 1184774937 | Melvyn E Attfield | Clinical Neuropsychologist | 225 Commercial Street, Suite #303, Portland, ME 04101 | 2007-01-12 |
| 1437215712 | Patrice Deidre Carrello | Clinical Neuropsychologist | 2354 Se 59th Ave, Portland, OR 97215-4018 | 2006-12-29 |
| 1386722247 | Donald Edward Lange | Clinical Neuropsychologist | 8040 Sw Capitol Hill Rd, Portland, OR 97219-2670 | 2006-11-01 |
| 1497831713 | James (jim) Charles Johnson | Clinical Neuropsychologist | 516 Se 71st Ave, Portland, OR 97215-2132 | 2006-10-29 |
| 1245327501 | Julia Ann Wong-ngan | Clinical Neuropsychologist | 205 Se Spokane St Ste 300, Portland, OR 97202-6487 | 2006-10-06 |
| 1295820389 | Nadia E. Webb | Clinical Neuropsychologist | 1631 Ne Broadway Street. No. 237, Portland, OR 97232 | 2006-10-04 |
| 1811923246 | Dawn Wilkinson | Clinical Neuropsychologist | 458 N Broadway, Suite B, Portland, TN 37148-1767 | 2006-06-25 |
| 1043257058 | Richard Kolbell | Clinical Neuropsychologist | 1923 Ne Broadway, Portland, OR 97232-1501 | 2006-05-31 |
| Find all providers in PORTLAND | ||||
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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.