Healthcare Provider Details

I. General information

NPI: 1114122595
Provider Name (Legal Business Name): RICHARD WILLIAM MILLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2007
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 LADD ST STE 311
EAST GREENWICH RI
02818-4358
US

IV. Provider business mailing address

42 LADD ST STE 311
EAST GREENWICH RI
02818-4358
US

V. Phone/Fax

Practice location:
  • Phone: 734-358-7864
  • Fax:
Mailing address:
  • Phone: 734-358-7864
  • Fax: 401-214-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD13763
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301506255
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number128617
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number56760
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: