STACY MILLER (NPI# 1740510528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740510528 |
| Entity Type | Individual |
| Full Name | STACY MILLER |
| Credential | PHD |
| Practice Address |
801 Vassar Dr Ne Bldg 23 Albuquerque NM 87106-2725 |
| Practice Telephone | 5052484087 |
| Practice Fax Number | 5052566844 |
| Mailing Telephone | 5052484087 |
| Mailing Fax Number | 5052566844 |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4304 | NM | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4304 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388361 | Stacy Hatsumi Miller | Specialist/Technologist | 1919 Spanos Ct, Sacramento, CA 95825-3981 | 2019-07-18 |
| 1356620884 | Stacy Ann Miller | Student in an Organized Health Care Education/Training Program | 249 E Tabernacle St Ste 100, St George, UT 84770-2951 | 2011-08-15 |
| 1275827156 | Stacy Miller | Pharmacist | Building 8, Dogwood Ave., Mountain Home, TN 37684 | 2011-06-08 |
| 1518156652 | Stacy Lee Miller | Dietitian, Registered | 7360 Joshua Ln Apt A, Yucca Valley, CA 92284-7901 | 2007-10-15 |
| 1407902380 | Stacy E Miller | Dentist | 1 Lakeway Centre Ct, Suite A, Lakeway, TX 78734-2621 | 2007-01-25 |
| 1033724380 | Stacy Ann Miller | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-09-14 |
| 1982216230 | Stacy Lynn Miller | Pharmacist | 2305 W Monroe St, Springfield, IL 62704-1438 | 2020-08-18 |
| 1528692357 | Stacy Elizabeth Miller | Dietitian, Registered | 820 S Damen Ave, Chicago, IL 60612-3728 | 2020-03-02 |
| 1265928105 | Stacy Miller | Physician Assistant | 500 W Berkeley St, Uniontown, PA 15401-5596 | 2018-07-03 |
| 1073032264 | Stacy Miller | Physician Assistant | 2509 County Highway I, Chippewa Falls, WI 54729-2785 | 2017-09-19 |
| Street Address |
801 VASSAR DR NE BLDG 23 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844747 | Ellen Soisson | Psychologist | 11005 Spain Rd Ne Ste 8, Albuquerque, NM 87111-1871 | 2020-05-31 |
| 1124584313 | Mark Simpson Psyd Mac Ladc LLC | Psychologist | 2920 Carlisle Blvd Ne Ste G, Albuquerque, NM 87110-2867 | 2019-02-13 |
| 1548775414 | Julie Brovko | Psychologist | 215 Gold Ave Sw Ste 202, Albuquerque, NM 87102-3364 | 2017-12-13 |
| 1134633498 | Evan Espinosa | Psychologist | 933 Bradbury Dr. Se, Suite 2222, Albuquerque, NM 87106-4374 | 2017-11-24 |
| 1982113205 | Diana Bennett | Psychologist | 1501 San Pedro Dr Se # Mc116, Albuquerque, NM 87108-5153 | 2017-09-29 |
| 1518411297 | Emily Kathryn Andrews | Psychologist | 1001 Yale Boulevard Ne, Albuquerque, NM 87131-1830 | 2016-08-10 |
| 1982076402 | Sally Eden Moretti | Psychologist | 5920 Canyon Vista Dr Ne, Albuquerque, NM 87111-6621 | 2015-10-23 |
| 1881087526 | Aaron Joyce, Ph.d., LLC | Psychologist | 3532 Anderson Ave. Se, Albuquerque, NM 87106 | 2015-03-05 |
| 1073903506 | Samardzija Psychological Center | Psychologist | 12900 Sandia Point Rd Ne, Albuquerque, NM 87111-8198 | 2015-02-04 |
| 1679974943 | Sage Behavioral Health Center | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on STACY 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.