Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093808750 Individual Practitioner Male Practitioner

Dr. Ivan W. Miller , PhD

Psychologist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Miller, PhD is a registered healthcare professional specializing in Psychologist in Providence, RI. Practice services are available at 345 BLACKSTONE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

345 Blackstone Blvd

Providence, RI 029064800

Telephone 4014556383
Fax 4014556309
Associated Practice Facility / Clinic
🏢 Butler Hospital Facility NPI 1104801349

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 33.6 Yrs
Regional Practice Density
124 Specialists

Practicing in Providence, RI (255 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License RI PS00217

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Dr. Katharine Phillips , MD

Psychiatry & Neurology - Psychiatry

NPI 1033123484

Doctor of Medicine (M.D.)

Dr. Lisa Shea , MD

Psychiatry & Neurology - Psychiatry

NPI 1033125356

Doctor of Medicine (M.D.)

Dr. Anne Belzowski , MD

Internal Medicine

NPI 1083095681

Doctor of Medicine (M.D.)

Dr. Michael Wilberger , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1114933496

Doctor of Medicine (M.D.)

Dr. Marilyn Price , MD

Psychiatry & Neurology - Psychiatry

NPI 1144234790

Doctor of Medicine (M.D.)

NPI 1144313909

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 345 BLACKSTONE BLVD, PROVIDENCE, RI 029064800 (Tel: 4014556383)

📍
Updated Business Mailing Address July 08, 2007

Registered at 345 BLACKSTONE BLVD, PROVIDENCE, RI 029064800 (Tel: 4014556383)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as IVAN MILLER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PS00217 in RI)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ivan Miller. Be the first to share your experience!

Sign in to leave a review for Dr. Ivan Miller

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093808750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

345 Blackstone Blvd

Providence, RI 029064800

Phone: 4014556383

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.