SUSAN MILAM MILLER (NPI# 1982678280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982678280 |
| Entity Type | Individual |
| Full Name | SUSAN MILAM MILLER |
| Credential | M.D. |
| Practice Address |
3333 Chanate Rd Santa Rosa CA 95404-1707 |
| Practice Telephone | 7075654810 |
| Mailing Telephone | 7075654810 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
A79780 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3333 CHANATE RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891207650 | Antonina Elizabeth Cutrufelli Selfridge | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2017-11-01 |
| 1861942484 | Paul Tepper | Registered Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-10-06 |
| 1073061990 | Rachel Nicole Tretiakow | Licensed Vocational Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-09-20 |
| 1700237260 | Aysha Bhumbla | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404 | 2016-06-27 |
| 1750745808 | Linda Kaye Matteson | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-04-05 |
| 1134587769 | Katrin Kelly | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2016-02-10 |
| 1518345511 | Santa Rosa Community Health Centers | Clinic/Center | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-05-11 |
| 1497145882 | Rishi Chopra Nijhon | Marriage & Family Therapist | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-01-23 |
| 1841610086 | Michael Edward Taylor | Counselor | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2014-04-25 |
| 1124452743 | Susan Bartholome | Registered Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2013-08-30 |
| Find all providers in the same location | ||||
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932317419 | Jane Ellen Heath | Psychiatry & Neurology | 24a Ursuline Rd., Santa Rosa, CA 95403 | 2007-05-18 |
| 1831418805 | Emily Lizabeth Porch | Psychiatry & Neurology | 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 | 2010-05-28 |
| 1427277722 | North Bay Behavioral Health, Inc. | Psychiatry & Neurology | 1421 Guerneville Rd, Suite 114, Santa Rosa, CA 95403-7220 | 2007-04-25 |
| 1740319581 | Zoe Allen Martinez | Psychiatry & Neurology | 3313 Chanate Rd, Santa Rosa, CA 95404-1707 | 2007-03-05 |
| 1669556734 | Gene N. Wright | Psychiatry & Neurology | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
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| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.