Individual provider Active NPI

Amie Marie Lemos-Miller, PH.D.

  • Clinical Psychologist
  • Highland, CA
National Provider Identifier
1639377609
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
23024 Issued in CA
Practice address
7745 Boulder Ave Unit 1205
Highland, CA 92346-8066
Phone
(909) 830-1946
Fax
(909) 864-3906
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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 23024 CA Primary

Addresses

Primary practice location

7745 Boulder Ave Unit 1205
Highland, CA 92346-8066

Mailing address

7745 Boulder Avenue #1205
Highland, CA 92346
Phone (909) 830-1946

Other practice location 1

1255 W Colton Ave # 534
Redlands, CA 92374-2861
Phone (909) 830-1946

Other names 1

  • Dr. Amie Marie Lemos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211118002024 CA Practitioner - Clinical Psychologist 2163811852 Reassigns benefits to 1 organization
Practice locations: Redlands, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1255 W Colton Ave
Suite 534
Redlands, CA 92374-2861
Phone (909) 830-1946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Blossom Psychological Services Professional Corporation Clinical CurrentSince Sep 24, 2024 Accepting new patients
Alliance Nursing LLC Past Accepting new patients

Locations

7745 Boulder Ave
Unit 1205
Highland, CA 92346
Phone (909) 830-1946

1255 W Colton Ave
#534
Redlands, CA 92374
Phone (909) 830-1946

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1639377609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 BOULDER AVENUE #1205",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "92346",
            "telephone_number": "909-830-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 BOULDER AVE UNIT 1205",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923468066",
            "telephone_number": "909-830-1946",
            "fax_number": "909-864-3906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 W Colton Ave # 534",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742861",
            "country_code": "US",
            "telephone_number": "909-830-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMOS-MILLER",
        "first_name": "AMIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2024-04-16",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "LEMOS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland, CA

Sources for this page

Verify at the official NPI Registry.