Active NPI
James A Miller Jr., M.D.
- Psychiatry Physician
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD61576549
- Practice address
- 12900 NE 180TH St Ste 201
Bothell, WA 98011-5773 - Phone
- (206) 910-9476
- NPI assigned
- Jun 29, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 61576549 | WA | |
| Psychiatry Physician | 2084P0800X | 183492-1205 | UT | |
| Psychiatry Physician | 2084P0800X | MD61576549 | WA | Primary |
Addresses
Primary practice location
12900 NE 180TH St Ste 201
Bothell, WA 98011-5773
Mailing address
12900 NE 180TH St Ste 201
Bothell, WA 98011-5773
Phone (206) 910-9476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722000631 | WA | Practitioner - Psychiatry | 9931006244 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183492-1205 | UT | MD | Psychiatry Physician |
| 61576549 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Current | Accepting new patients | |
| Central Utah Mental Health Substance Abuse | Past | Accepting new patients | |
| Central Utah Mental Health | Past | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Psychiatry | Past | Accepting new patients |
| Central Utah Counseling Center | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
12900 NE 180th St
Ste 201
Bothell, WA 98011
Phone (206) 910-9476
19120 SE 34th St
Ste 201
Vancouver, WA 98683
Phone (360) 906-1190
Interoperability endpoints
- lifestancehealth.jamesmiller@147765.advancedmd-direct.com
Organizations & group practices 7
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.
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
WA
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Psychiatry
-
- Psychiatric Hospital
- Kirkland, WA
- NPI 1053327890
-
- Psychiatry Physician
- Kirkland, WA
- NPI 1104959097
-
- Counselor
- Ephraim, UT
- NPI 1639185424
-
- Mental Health Counselor
- Nephi, UT
- NPI 1679588024
-
- Mental Health Counselor
- Ephraim, UT
- NPI 1982619326
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Oklahoma College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- BHC Fairfax Hospital IncWestern Psychological and Counseling Services LLC
Practice addresses (Care Compare)
10200 NE 132ND St
Kirkland, WA 98034-2831
Phone (425) 821-2000
12900 NE 180TH St
Suite 201
Bothell, WA 98011-5773
Phone (206) 910-9476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756512000000",
"number": "1629006358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 NE 180TH ST STE 201",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980115773",
"telephone_number": "206-910-9476",
"fax_number": "206-910-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 NE 180TH ST STE 201",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980115773",
"telephone_number": "206-910-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMES",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2025-08-30",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "61576549",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "183492-1205",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD61576549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; 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.