Individual provider Active NPI

Nancy Elizabeth Miller, PSY.D.

  • Psychologist
  • Coopersburg, PA
National Provider Identifier
1205103660
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017108 Issued in PA
Practice address
6751 Roberts Rd
Coopersburg, PA 18036-1377
Phone
(610) 282-2518
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017108 PA Primary
Psychologist 103T00000X BI-0000889 DE

Addresses

Primary practice location

6751 Roberts Rd
Coopersburg, PA 18036-1377

Mailing address

6751 Roberts Rd
Coopersburg, PA 18036-1377
Phone (610) 282-2518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200608000358 PA Practitioner - Clinical Psychologist 3678994233 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BI-0000889DEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Counseling & Wellness, LLC CurrentSince Apr 14, 2025 Accepting new patients
Shire Counseling LLC CurrentSince Dec 1, 2022 Accepting new patients
Lenape Valley Foundation CurrentSince Jun 16, 2025 Accepting new patients
Lenape Valley Foundation Current Accepting new patients
Access Services Inc. Past Accepting new patients
Lenape Valley Foundation Past Accepting new patients

Locations

4949 Liberty Ln
Ste 10
Allentown, PA 18106
Phone (610) 393-6023

95 Highland Ave
Ste 301
Bethlehem, PA 18017
Phone (610) 625-1577

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

4865 Hamilton Blvd
#200
Wescosville, PA 18106
Phone (610) 393-6023

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1205103660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 ROBERTS RD",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361377",
            "telephone_number": "610-282-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 ROBERTS RD",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361377",
            "telephone_number": "610-282-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017108",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "BI-0000889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersburg, PA

Sources for this page

Verify at the official NPI Registry.