MARISSA MILLER PHD
NPI 1376199711
Psychologist - Clinical Child & Adolescent in Washington, DC

Q: What is Marissa Miller's NPI number?

The NPI number for Marissa Miller is 1376199711. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Q: What is Marissa Miller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Miller was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2019PECOS Enrolled

111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Aug 12, 2019 (2 updates tracked since 2019).

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About Marissa Miller Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA MILLER PHD (NPI 1376199711) is an individual clinical child & adolescent provider in Washington, District Of Columbia, licensed in Maryland (06171) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1376199711

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameMARISSA MILLERCredential: PHD

Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916

Mailing AddressPo Box 744785Atlanta, GA 30374-4785 · (202) 476-5000

Phone(202) 476-5000

Sole ProprietorYes

Enumeration DateAugust 12, 2019

Last NPPES UpdateAugust 22, 20222 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1376199711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in MD · 06171

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 06171 (MD)

111 MICHIGAN AVE NW, Washington, DC 20010

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Secondary Practice Location 1

Location 11708 W Rogers AveBaltimore, MD 21209-4545 · Phone (410) 367-2222

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Miller Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA BADILLO MD

Surgery

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-2451

DR. TALITA MICHELLE JORDAN MD

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

YUE-HIN LOKE MD

Pediatrics (Pediatric Cardiology)

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

ELSHADEY YAYEHYERADE BEKELE

Pediatrics

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (301) 565-4279

NOURA AL DHAHERI MD

Student in an Organized Health Care Education/Training Program

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

JIA LIU MD

Anesthesiology (Pediatric Anesthesiology)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-5000

DR. CHARLES JOHN BILLINGTON JR. MD

Medical Genetics (Clinical Genetics (M.D.))

111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010

District of Columbia (202) 476-3670

GINA JIN LEE PHARMD

Pharmacist (Pharmacotherapy)

111 MICHIGAN AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 476-4080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Miller's NPI number?

The NPI number for Marissa Miller is 1376199711. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Marissa Miller located?

Marissa Miller practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Marissa Miller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Marissa Miller enrolled in Medicare?

Yes. Marissa Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Miller was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.