Miller Psychiatric Services

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Austintown, OH

NPI 1003564550 · NPPES record last updated Jul 16, 2026

Key facts

NPI
1003564550
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
MILLER PSYCHIATRIC SERVICES
Practice address
5547 Mahoning Ave # 187
Austintown, OH 44515-2316
Phone
(330) 398-6420
NPI assigned
Mar 14, 2022
Organization subpart
No

Authorized official

Name
Mr. Kevin Miller Jr., PMHNP
Title
Psychiatric Nurse Practitioner
Phone
(330) 398-6420

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220524003279 OH Part B Supplier - Clinic/Group Practice 3274929385 Receives reassigned benefits from 15 practitioners
Practice locations: Austintown, OH

National Provider Directory

Locations

5547 Mahoning Ave
Youngstown, OH 44515
Phone (267) 691-2800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

5547 Mahoning Ave # 187
Austintown, OH 44515-2316

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Other names

  • Miller Psychiatric Services Doing business as

Other providers in Austintown, OH

All providers in Austintown, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.