Individual provider Active NPI

Carole L. Kunkle-Miller, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1649386228
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS004214L Issued in PA
Practice address
1720 Washington Rd
Suite 208
Pittsburgh, PA 15241-1208
Phone
(412) 854-4887
Fax
(412) 386-3733
NPI assigned
Aug 23, 2006
Last updated
Jan 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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 PS004214L PA Primary

Addresses

Primary practice location

1720 Washington Rd
Suite 208
Pittsburgh, PA 15241-1208

Mailing address

1720 Washington Rd
Suite 208
Pittsburgh, PA 15241-1208
Phone (412) 854-4887

Other identifiers 9

IdentifierTypeStateIssuer
630614OtherPABLUE CROSS GROUP
1336286772OtherPANPI JA
1417062480OtherPANPI
1485089OtherPABLUE SHIELD
1457375784OtherPANPI
1588704944OtherPANPI
081894OtherPAMEDICARE PTAN
139591OtherPABLUE CROSS
1619196987OtherPAGROUP NPI

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
I20040826000072 PA Practitioner - Clinical Psychologist 3971577750 Receives reassigned benefits from 6 practitioners
Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1720 Washington Rd
Pittsburgh, PA 15241-1208
Phone (412) 561-6776

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS004214LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carole Kunkle-Miller, PH.D. Clinical PastSince Jan 1, 1990 Accepting new patients
Carole Kunkle-Miller, PHD Clinical PastSince Jan 1, 1990 Accepting new patients
Mind Body Center, PLLC PastSince Jul 3, 2022 Accepting new patients
Carole Kunkle-Miller, PH.D. & Associates Clinical PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1649386228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WASHINGTON RD",
            "address_2": "SUITE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411208",
            "telephone_number": "412-854-4887",
            "fax_number": "412-386-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WASHINGTON RD",
            "address_2": "SUITE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411208",
            "telephone_number": "412-854-4887",
            "fax_number": "412-386-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKLE-MILLER",
        "first_name": "CAROLE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004214L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "630614",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  JA",
            "identifier": "1336286772",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417062480",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1485089",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457375784",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588704944",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "081894",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "139591",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1619196987",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.