Mark A Miles, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

2302 Issued in TN

Practice address

332 N Lauderdale St
Memphis, TN 38105-2794

Phone

(901) 495-3006

Fax

(901) 495-3842

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053306159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 N LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052794",
            "telephone_number": "901-495-3006",
            "fax_number": "901-495-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 N LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052794",
            "telephone_number": "901-495-3006",
            "fax_number": "901-495-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "2302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440556",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenn Harris Milam, LMFT, LCPT
• Rondavius Milam
• Savannah Milam
• Mary R Milby, CRNA
• Asya Tiani Miles
• Michelle D. Miles
• Milestone, LLC
• Milk With Tea
• Kristopher John Michael Milland, MD
• Millennium Medical Group of Tennessee PLLC

• Clinical Child & Adolescent Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Child & Adolescent Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.