Jennifer Lynn Miller, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4063 Issued in NC

Practice address

1501 E 7TH St
Suite 7
Charlotte, NC 28204-2456

Phone

(412) 607-8817

NPI assigned

Sep 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1497904247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 7TH ST",
            "address_2": "SUITE 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 7TH ST",
            "address_2": "SUITE 7",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042456",
            "telephone_number": "412-607-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3727",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Hunter Miller
• Heather Miller, PHARMD
• Jasonn Miller, LAT, ATC
• Jeffrey Collins Miller, MD
• Jennie Emi Miller, R.N.,HN-BC, ND, L.AC
• John James Miller III, ATC, CSCS
• Joshua David Miller, DMD
• Joshua Seth Miller, MD
• Julia Elizabeth Miller, SLP
• Julie Macrae Miller, MS, CCC-SLP

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.