Individual provider Active NPI

Anne Miller, PH.D.

  • Clinical Neuropsychologist
  • Louisville, KY
National Provider Identifier
1174061675
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
129107 Issued in KY
Practice address
9400 Williamsburg PLZ Ste 310
Louisville, KY 40222-6016
Phone
(502) 627-0303
NPI assigned
Feb 3, 2017
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 129107 KY Primary
Clinical Psychologist 103TC0700X 129107 KY

Addresses

Primary practice location

9400 Williamsburg PLZ Ste 310
Louisville, KY 40222-6016

Mailing address

9400 Williamsburg PLZ Ste 310
Louisville, KY 40222-6016
Phone (502) 627-0303

Other practice location 1

1169 Eastern Pkwy Ste 3443
Louisville, KY 40217-1421
Phone (502) 456-5089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170629002836 KY Practitioner - Clinical Psychologist 7416226733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

1090 S Tamiami Trail
Sarasota, FL 34236-9116

1161 E Broadway
Louisville, KY 40204-1711

815 John Harper Hwy
Suite 13
Pioneer Village, KY 40165-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
129107KYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckiana Psychological Associates PLLC Clinical CurrentSince Apr 13, 2026 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Feb 1, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Feb 1, 2024 Accepting new patients
Comprehensive Neuropsychological Services Clinical Neuropsychologist CurrentSince Apr 9, 2018 Accepting new patients
Nurse Practitioner Associates, PLLC PastSince Apr 9, 2018 Accepting new patients

Locations

230 Lexington Green Cir
Ste 420
Lexington, KY 40503
Phone (859) 287-0760

10509 Timberwood Cir
Ste 250
Louisville, KY 40223
Phone (501) 423-1151

1161 E Broadway
Louisville, KY 40204
Phone (502) 561-0952

7511 New La Grange Rd
Louisville, KY 40222
Phone (502) 423-1151

9400 Williamsburg Plz
Ste 310
Louisville, KY 40222
Phone (502) 627-0303

815 John Harper Rd
Unit 13
Shepherdsville, KY 40165
Phone (502) 504-5231

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1174061675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 WILLIAMSBURG PLZ STE 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226016",
            "telephone_number": "502-627-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 WILLIAMSBURG PLZ STE 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226016",
            "telephone_number": "502-627-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 Eastern Pkwy Ste 3443",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171421",
            "country_code": "US",
            "telephone_number": "502-456-5089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "KY",
            "license": "129107",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.