Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Miller, PSYD

Individual provider Clinical Psychologist · NPI 1619428661

Mary Miller, PSYD is a Clinical Psychologist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3880 S Bascom Ave Ste 208
San Jose, CA 95124-2674
Phone: (408) 679-9462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY18115 (CA)

Record details

NPI number1619428661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 14, 2016
Last updated in NPPESOctober 14, 2016

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