Provider Demographics
NPI:1134571201
Name:MILLER, LEAH BELLMAN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:BELLMAN
Last Name:MILLER
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GROVE ST STE 400A
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7726
Mailing Address - Country:US
Mailing Address - Phone:617-546-6700
Mailing Address - Fax:617-546-6800
Practice Address - Street 1:8 GROVE ST STE 400A
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7726
Practice Address - Country:US
Practice Address - Phone:617-546-6700
Practice Address - Fax:617-546-6800
Is Sole Proprietor?:No
Enumeration Date:2016-07-12
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2298749163W00000X, 363LP0808X
NY836082163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse