Chazlyn Ann Miller, MS, TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018000 Issued in MI

Practice address

4160 Woodward Ave FL 2
Detroit, MI 48201-2027

Phone

(313) 656-4052

NPI assigned

Aug 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Imagine Center LLC

  • Clinical Psychologist
  • Northville, MI
  • NPI 1467899666
  NPD

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1285280982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 WOODWARD AVE FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012027",
            "telephone_number": "313-656-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WOODWARD AVE FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012027",
            "telephone_number": "313-656-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHAZLYN",
        "middle_name": "ANN",
        "credential": "MS, TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Lewis Miller, R.N. BSN
• Brenda Joyce Miller
• Briana Miller
• Briana Miller
• Charlotte Denise Miller, RPH
• Cornisha Miller
• Dan Miller
• Daniel Jairo Miller, MD
• David Christopher Miller, PA-C
• Deborah Miller

• Clinical Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.