Individual provider Active NPI

David R. Miller, PH.D.

  • Clinical Psychologist
  • Fort George Meade, MD
National Provider Identifier
1508847849
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04141 Issued in MD
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003526 PA Practitioner - Clinical Psychologist 2365714508 Reassigns benefits to 1 organization

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
Downtown Counseling Center LLCGroup PAC ID 6800167255, 7 clinicians

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

LicenseStateTypeSpecialty
04141MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Counseling Center LLC Clinical CurrentSince Aug 1, 2017 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.

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

Verify at the official NPI Registry.