Active NPI
David R. Miller, PH.D.
- Clinical Psychologist
- Fort George Meade, MD
National Provider Identifier
1508847849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04141
- Practice address
- 2480 Llewellyn Ave
Fort George Meade, MD 20755-5800 - Phone
- (301) 677-8449
- Fax
- (301) 677-8957
- NPI assigned
- Nov 11, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 04141 | MD | Primary |
Addresses
Primary practice location
2480 Llewellyn Ave
Fort George Meade, MD 20755-5800
Mailing address
Kimbrough Amulatory Care Center
Attn: MCXR-CR 2480 Llewellyn Ave
Ft. Meade, MD 20755
Phone (301) 677-8270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 S Hanover St
Ofc
Carlisle, PA 17013-3453
Phone (717) 386-5971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04141 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Counseling Center LLC | Clinical | Current | Accepting new patients |
Locations
155 S Hanover St
Ofc
Carlisle, PA 17013
Phone (717) 386-5971
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Carlisle, PA
- NPI 1013443936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508847849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KIMBROUGH AMULATORY CARE CENTER",
"address_2": "ATTN: MCXR-CR 2480 LLEWELLYN AVE",
"city": "FT. MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "301-677-8270",
"fax_number": "301-677-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LLEWELLYN AVE",
"city": "FORT GEORGE MEADE",
"state": "MD",
"postal_code": "207555800",
"telephone_number": "301-677-8449",
"fax_number": "301-677-8957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DAVID",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort George Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.