Belva Ann Miles, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010013 Issued in IL

Practice address

4236 N Kenmore Ave Apt 110
Chicago, IL 60613-1380

Phone

(773) 704-6249

NPI assigned

Jul 6, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Miles Ahead Psychological Services, PLLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1205507126
  NPD Authorized official

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1477074896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 N KENMORE AVE APT 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131380",
            "telephone_number": "773-704-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 N KENMORE AVE APT 110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131380",
            "telephone_number": "773-704-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "BELVA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles of Care Divisions
• Miles of Care Infusion & Wellness Divison
• Miles of Care RX Direct Division
• Miles of Care Southwest
• Miles of Care- North
• Katharine Elizabeth Miles, M.D.
• Krystle Miles, MD, MPH
• Margaret Baker Miles, LCSW
• Michael Miles
• Michelle Tunisia Miles

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.