1255601050 NPI number — TONYA L. MILES, PSYD, P.A.

Table of content: (NPI 1255601050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255601050 NPI number — TONYA L. MILES, PSYD, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TONYA L. MILES, PSYD, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255601050
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7111 W 98TH TER STE 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66212-6159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-642-3134
Provider Business Mailing Address Fax Number:
888-334-4327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7111 W 98TH TER STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66212-6159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-642-3134
Provider Business Practice Location Address Fax Number:
888-334-4327
Provider Enumeration Date:
01/10/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MILES
Authorized Official First Name:
TONYA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
913-642-3134

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 1293 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200297160B , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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