Reisa Miller, School Psychologist
Psychologist, School in Brooklyn, NY. Individual provider (NPI-1).
NPI number1366082265
StatusActive
Last updated in NPPESJan 9, 2020
Details
- NPI
- 1366082265
- Entity type
- Individual (NPI-1)
- Name
- Reisa Miller
- Credential
- School Psychologist
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2020
- Certification date
- Jan 9, 2020
- Last updated
- Jan 9, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | – | Yes |
Practice location
1456 E 103rd StBrooklyn, NY 11236-4514
Phone 917-755-6358
Mailing address
1456 E 103rd StBrooklyn, NY 11236-4514
Phone 917-755-6358
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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