Individual
DR. JOHN MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 ELIOT ST, CHESTNUT HILL, MA 02467-1435
(617) 782-0303
Mailing address
10 PORTSMOUTH ST, BOSTON, MA 02135-1411
(617) 782-0303
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4462
MA
103TA0700X
Adult Development & Aging Psychologist
4462
MA
103TC0700X
Clinical Psychologist
4462
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4462
MA
103TS0200X
School Psychologist
166523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495668
UNITED BEHAVIORAL HEALTH
MA
05
—
0518255
—
MA
01
—
13632
HANCOCK
MA
01
—
732087
TUFTS HEALTH CARE
MA
01
—
7764376
AETNA
MA
Enumeration date
07/19/2006
Last updated
09/11/2025
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