Marla Debra Miller, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071 Issued in IL

Practice address

4040 Enfield Ave
Skokie, IL 60076-1934

Phone

(847) 687-2333

NPI assigned

May 28, 2017

Last updated

May 28, 2017By 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 1

Addresses

Other names 1

• Dr. Malka Debra Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrative Behavior Solutions

  • Clinical Psychologist
  • Lincolnwood, IL
  • NPI 1174443741
  NPD (past) Authorized official

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

{
    "created_epoch": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495929600000",
    "number": "1376071886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ENFIELD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761934",
            "telephone_number": "847-687-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ENFIELD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761934",
            "telephone_number": "847-687-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARLA",
        "middle_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-28",
        "last_updated": "2017-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALKA",
            "last_name": "MILLER",
            "middle_name": "DEBRA",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Midwest Express Care 2, Inc
• Midwest Healthcare Providers, Inc.
• Helen Barbara Mikos, DEVELOPMENTAL THERAP
• Richard Randy Mikos, D.D.S.
• Kristen Miller
• Nathan Randall Miller, MACP
• Scott Miller, DDS
• Steven B. Miller, D.P.M.
• John Milner, MD
• Holly M. Milojevic, APN-CNP

• Clinical Psychologist in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2017; 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.