Mr Timothy Michael Miller, LSW, LICDC-S - Psychiatry & Neurology in Columbus, OH

Mr Timothy Michael Miller, LSW, LICDC-S is a Psychiatry & Neurology - Addiction Medicine physician based in Columbus, Ohio. Mr Timothy Michael Miller is licensed to practice in Ohio (license number 001104) and his current practice location is 1441 Phale D. Hale Dr., Columbus, Ohio. He can be reached at his office (for appointments etc.) via phone at (614) 257-3754.

NPI number for Mr Timothy Michael Miller is 1528694643 and his current mailing address is 11122 Gorsuch Rd, Galena, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528694643.

Contact Information

Mr Timothy Michael Miller, LSW, LICDC-S
1441 Phale D. Hale Dr.,
Columbus, OH 43203
(614) 257-3754
Not Available

Map and Direction




Physician's Profile

Full NameMr Timothy Michael Miller
GenderMale
SpecialityPsychiatry & Neurology - Addiction Medicine
Location1441 Phale D. Hale Dr., Columbus, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528694643
  • Provider Enumeration Date: 03/20/2020
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mr Timothy Michael Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528694643NPI-NPPES
NONEOther
101010101Other1010101

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine 001104 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timothy Michael Miller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Timothy Michael Miller, LSW, LICDC-S
11122 Gorsuch Rd,
Galena, OH 43021-9633

Ph: (419) 203-9314
Mr Timothy Michael Miller, LSW, LICDC-S
1441 Phale D. Hale Dr.,
Columbus, OH 43203

Ph: (614) 257-3754

Reviews and Comments


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