DR. MALCOLM ROBERT MILLER (NPI# 1891936662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891936662 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM ROBERT MILLER |
| Credential | PHD |
| Practice Address |
865 3rd St Santa Rosa CA 95404-4515 |
| Mailing Address |
4938 Heather Glen Cir Santa Rosa CA 95405-7943 |
| Practice Telephone | 7074778456 |
| Mailing Telephone | 7074778456 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY4875 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | M8634 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285675801 | Malcolm Keith Miller | Specialist | 6797 County Road 110, Salida, CO 81201-9733 | 2006-06-08 |
| 1144696667 | Malcolm Bazner Miller | Social Worker | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2015-08-19 |
| 1770662694 | Malcolm Miller | Psychologist | 12304 Santa Monica Blvd, Suite 300, West Los Angeles, CA 90025-2551 | 2006-11-02 |
| Street Address |
865 3RD ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487678207 | Richard Bloom | Marriage & Family Therapist | 865 3rd St, Santa Rosa, CA 95404-4515 | 2006-07-26 |
| 1366810194 | Tatra-li De La Rosa | Marriage & Family Therapist | 865 3rd St, Suite 204, Santa Rosa, CA 95404-4515 | 2015-09-10 |
| 1063805802 | Richard Doleman | Marriage & Family Therapist | 865 3rd St, Santa Rosa, CA 95404-4515 | 2015-03-17 |
| 1295994119 | Patricia Ann Cisco | Marriage & Family Therapist | 865 3rd St, Suite 201, Santa Rosa, CA 95404-4515 | 2008-06-05 |
| 1124297312 | Nancy Hauser Cushing | Marriage & Family Therapist | 865 3rd St, Ste 104, Santa Rosa, CA 95404-4515 | 2008-02-21 |
| 1104032663 | Thomas N Barber | Marriage & Family Therapist | 865 3rd St, Suite 104, Santa Rosa, CA 95404-4515 | 2007-05-14 |
| 1801919642 | Jeanne Vattuone | Social Worker | 865 3rd St, Suite 204, Santa Rosa, CA 95404-4515 | 2007-04-09 |
| 1861550436 | Bettina M. O'brien | Marriage & Family Therapist | 865 3rd St, Suite 102, Santa Rosa, CA 95404-4515 | 2006-12-05 |
| 1598879520 | Alta Lura Tibbits-kleber | Psychologist | 865 3rd St, Suite 100, Santa Rosa, CA 95404-4515 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574821 | Megan Nolan | Psychologist | 4378 Bennett Valley Rd, Santa Rosa, CA 95404-6239 | 2018-10-17 |
| 1023505344 | Cross Cultural Services and Evaluations, Inc | Psychologist | 1550 Airport Blvd Ste 206, Santa Rosa, CA 95403-1095 | 2018-04-23 |
| 1053764688 | Dominic G Lucia | Psychologist | 1824 Empire Industrial Ct, Suite 'c', Santa Rosa, CA 95403-1991 | 2016-07-19 |
| 1942659024 | Anne Babin | Psychologist | 819 3rd St Ste 103, Santa Rosa, CA 95404-4546 | 2016-06-08 |
| 1649524802 | Sheila Albert | Psychologist | 4911 Perezoso Calle, Santa Rosa, CA 95409-2651 | 2012-11-08 |
| 1730443359 | Silvio Machado | Psychologist | 1626 4th St, Santa Rosa, CA 95404-4020 | 2012-06-28 |
| 1619266343 | Carla Marie Manly | Psychologist | 320 10th St Ste 303, Santa Rosa, CA 95401-5291 | 2011-04-04 |
| 1154638740 | Kimberly A Gauntlett | Psychologist | 657 Connie St, Santa Rosa, CA 95407-6267 | 2010-09-03 |
| 1063740736 | Kathleen A Kunster | Psychologist | 320 Tenth Street, Suite 205, Santa Rosa, CA 95401-9540 | 2009-11-18 |
| 1588801054 | Lisa Rohe | Psychologist | 1008 Fifth Street, Santa Rosa, CA 95404 | 2009-01-20 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on DR. MALCOLM ROBERT 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.