MARY MILLER PSYD
NPI 1619428661
Psychologist - Clinical in San Jose, CA

Q: What is Mary Miller's NPI number?

The NPI number for Mary Miller is 1619428661. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Q: What is Mary Miller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Miller was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 14, 2016

3880 S BASCOM AVE, STE 208, SAN JOSE, CA 95124(408) 679-9462 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Miller Psyd NPPES

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

MARY MILLER PSYD (NPI 1619428661) is an individual clinical provider in San Jose, California, licensed in California (PSY18115) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1619428661

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARY MILLERCredential: PSYD

Location Address3880 S BASCOM AVE, STE 208San Jose, CA 95124-2674

Mailing Address3880 S Bascom Ave, Ste 208San Jose, CA 95124-2674 · (408) 679-9462

Phone(408) 679-9462

Sole ProprietorYes

Enumeration DateOctober 14, 2016

✔ NPI 1619428661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY18115

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3880 S BASCOM AVE, San Jose, CA 95124

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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. TOM NHU VO D.C.

Chiropractor

3880 S BASCOM AVE, SUITE #109
SAN JOSE, CA 95124

Santa Clara County (408) 371-0260

MR. DONALD B DUFFORD PHD

Psychologist (Clinical)

3880 S BASCOM AVE, SUITE 212
SAN JOSE, CA 95124

Santa Clara County (408) 559-9088

MR. ANTHONY MEDARO LCSW

Social Worker (Clinical)

3880 S BASCOM AVE, SUITE 212
SAN JOSE, CA 95124

Santa Clara County (408) 377-7099

MS. ANN LO MFT

Marriage & Family Therapist

3880 S BASCOM AVE, SUITE 206
SAN JOSE, CA 95124

Santa Clara County (408) 235-9862

BARBARA JANDU

Marriage & Family Therapist

3880 S BASCOM AVE
SAN JOSE, CA 95124

Santa Clara County (408) 596-8985

DR. KYLE EUGENE ELLIOTT D.C.

Chiropractor

3880 S BASCOM AVE, SUITE 117
SAN JOSE, CA 95124

Santa Clara County (408) 559-1100

JULIE CHRISTINE NASSER M.A.

Marriage & Family Therapist

3880 S BASCOM AVE
SAN JOSE, CA 95124

Santa Clara County (408) 566-3682

DR. SAMANTHA ANN DOWDALL PH.D.

Clinical Neuropsychologist

3880 S BASCOM AVE, SUITE 116A
SAN JOSE, CA 95124

Santa Clara County (408) 377-7600

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 Mary Miller's NPI number?

The NPI number for Mary Miller is 1619428661. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Mary Miller located?

Mary Miller practices at 3880 S Bascom Ave Ste 208, San Jose, CA 95124. The listed phone number is (408) 679-9462.

What is Mary Miller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mary Miller was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.