Kyleemillerphd
Clinic/Center (Developmental Disabilities)

Address: 586 Welcome Way Se, Salem, OR 97302-3932
Phone: 9194285263

Kyleemillerphd (NPI# 1619583408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1619583408
Entity Type Organization
Organization Name KYLEEMILLERPHD
Practice Address 586 Welcome Way Se
Salem
OR 97302-3932
Practice Telephone 9194285263
Mailing Address 586 Welcome Way Se
Salem
OR 97302-3932
Mailing Telephone 9194285263
Authorized Official Name Dr. Kylee Marie Miller (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 9194285263
Authorized Official Credential PHD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-17
Last Update Date 2020-09-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 103T00000X Psychologist Behavioral Health & Social Service Providers
Yes 261QD1600X Clinic/Center · Developmental Disabilities Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1396246625 Bilingual Psychological Services Clinic/Center 516 Se Morrison St Ste 221, Portland, OR 97214-2342 2018-02-22
1144717752 Jacqulyn Lee Crandall Clinic/Center 9115 Sw Oleson Rd Ste 100, Portland, OR 97223-6876 2018-04-18
1982072641 Redmond Speech and Language Clinic/Center 731 Sw Highland Ave, Redmond, OR 97756-3131 2015-09-10
1417266511 Good Samaritan Hospital Corvallis Clinic/Center 1112 Nw Circle Blvd, Corvallis, OR 97330-1462 2010-10-07
1659380145 Tillamook Family Counseling Center Clinic/Center 906 Main Ave, Tillamook, OR 97141-3816 2006-08-05

Office Location

Street Address 586 WELCOME WAY SE
City SALEM
State OR
Zip Code 97302-3932

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
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Competitor

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City SALEM
Zip Code 97302

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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.