Individual provider Active NPI

Amy Dara Miller, PSY.D.

  • Clinical Psychologist
  • Schaumburg, IL
National Provider Identifier
1346342268
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005912 Issued in IL
Practice address
1305 Remington Rd
Suite T
Schaumburg, IL 60173-4833
Phone
(847) 845-4045
Fax
(847) 519-9089
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005912 IL Primary

Addresses

Primary practice location

1305 Remington Rd
Suite T
Schaumburg, IL 60173-4833

Mailing address

1305 Remington Rd
Suite T
Schaumburg, IL 60173-4833
Phone (847) 845-4045

Other identifiers 2

IdentifierTypeStateIssuer
216-232-73OtherILBC/BS PROVIDER ID#
36-4313557OtherILFEDERAL ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050119000054 IL Practitioner - Clinical Psychologist 0648229575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1305 Remington Rd
Suite T
Schaumburg, IL 60173-4820
Phone (847) 845-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-005912ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Amy D. Miller and Associates, Inc. Clinical CurrentSince Aug 31, 1999 Accepting new patients

Locations

1305 Remington Rd
Ste T
Schaumburg, IL 60173
Phone (847) 519-7770

Organizations & group practices 1

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640304000000",
    "number": "1346342268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REMINGTON RD",
            "address_2": "SUITE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734833",
            "telephone_number": "847-845-4045",
            "fax_number": "847-519-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 REMINGTON RD",
            "address_2": "SUITE T",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734833",
            "telephone_number": "847-845-4045",
            "fax_number": "847-519-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID#",
            "identifier": "216-232-73",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID#",
            "identifier": "36-4313557",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.