Kim Patricia Miller, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004728 Issued in GA

Practice address

3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000

Phone

(770) 284-1044

NPI assigned

Jul 13, 2005

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, GA, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Elizabeth Newton, PSYD and Assoc IncGroup PAC ID 5597204628, 2 clinicians

Island Psychiatry PCGroup PAC ID 9032490610, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabeth Newton, PSYD and Assoc Inc

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1972123883
  Medicare reassignment Care Compare group NPD
• Island Psychiatry, P.C.

  • Clinical Psychologist
  • Port Jefferson Station, NY
  • NPI 1609249754
  Medicare reassignment Care Compare group
• Neurobehavioral Associates, LLC

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1386059251
  Medicare reassignment NPD
• Andrew Pleener, MD, P.a.

  dba Regional Psychiatry

  • Psychiatry Physician
  • Windermere, FL
  • NPI 1255979449
  Medicare reassignment
• Minder Neuropsychological Services Inc.

  dba Minder Memory Center

  • Psychologist
  • San Diego, CA
  • NPI 1316637200

  GA

  Medicare reassignment
• Wellqor Psychological Services Northeast, PC

  • Clinical Psychologist
  • Highland Park, NJ
  • NPI 1326442567

  NY

  Medicare reassignment
• New Mercy Behavioral Health LLC

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1114480753
  NPD

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1053319947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WINTHROP DR",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302772285",
            "telephone_number": "347-204-4629",
            "fax_number": "470-414-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262000",
            "telephone_number": "770-284-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Winthrop Dr",
            "address_purpose": "LOCATION",
            "city": "Sharpsburg",
            "state": "GA",
            "postal_code": "302772285",
            "country_code": "US",
            "telephone_number": "347-204-4629",
            "fax_number": "470-414-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIM",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "016390",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016390",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Miller, AUD
• Ke'Wana Nychelle Miller
• Kendelle Miller, LCSW
• Kenneth Joel Miller, MD
• Kent D Miller, FNP
• Latanya Denise Miller
• Lee Anne Miller, CRNA
• Lesley Miller, M.D.
• Malynda Miller, CRNA
• Margaret Alice Miller, MA, CCC-SLP

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.