Active NPIIndividual providerSole proprietor

Dr. John Miner, PSYD

Psychologist, Clinical Child & Adolescent in Chestnut Hill, Massachusetts

NPI Number1558380360
Practice location
100 Eliot St, Chestnut Hill, MA 02467-1435
Fax
—
Last updated
September 11, 2025

John Miner is a Psychologist, Clinical Child & Adolescent based in Chestnut Hill, MA. John Miner practices in Chestnut Hill, MA and has the professional credentials of PSYD. The NPI Number for John Miner is 1558380360 and holds a License No. 4462 (MA). The current practice location address for John Miner is 100 Eliot St, Chestnut Hill, MA 02467-1435 and can be reached out via phone at 617-782-0303.

Provider Profile Details

NPI Number
1558380360
Provider Name
John Miner
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
100 Eliot St, Chestnut Hill, MA 02467-1435
Phone Number
617-782-0303
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
July 19, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Eliot St
Chestnut Hill, MA 02467-1435
Zip
02467-1435
Phone Number
617-782-0303
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
10 Portsmouth St
Boston, MA 02135-1411
City
Boston
State
MA
Zip
02135-1411
Phone Number
617-782-0303

License Information

License Number (1)
4462
License State (1)
MA
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
4462
License State (2)
MA
Taxonomy (2)
Psychologist, Adult Development & Aging · 103TA0700X
License Number (3)
4462
License State (3)
MA
Taxonomy (3)
Psychologist, Clinical · 103TC0700X
License Number (4)
166523
License State (4)
MA
Taxonomy (4)
Psychologist, School · 103TS0200X
License Number (5)
4462
License State (5)
MA
Taxonomy (5)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John Miner, PSYD?

The NPI number of Dr. John Miner, PSYD is 1558380360. It was assigned on July 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John Miner, PSYD?

Dr. John Miner, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 4462.

Where does Dr. John Miner, PSYD practice?

The practice location is 100 Eliot St, Chestnut Hill, MA 02467-1435. The office can be reached at 617-782-0303 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558380360 directly on the NPPES registry website.

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