Individual provider Active NPI

Audrey K. Miller, PH.D.

  • Clinical Psychologist
  • Bellaire, TX
National Provider Identifier
1659769453
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34995 Issued in TX
Practice address
6500 West Loop S Ste 200D
Bellaire, TX 77401-3535
Phone
(713) 572-8122
Fax
(713) 383-1452
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 34995 TX Primary

Addresses

Primary practice location

6500 West Loop S Ste 200D
Bellaire, TX 77401-3535

Mailing address

6500 West Loop S Ste 200D
Bellaire, TX 77401-3535
Phone (713) 572-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240909001858 TX Practitioner - Clinical Psychologist 8325588080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1941 E Rd
Ut Psychiatry Outpatient Clinic
Houston, TX 77054-6010
Phone (713) 486-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34995TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 2, 2024 Accepting new patients
Ut Physicians CurrentSince Sep 2, 2024 Accepting new patients

Locations

6500 West Loop S
Ste 200D
Bellaire, TX 77401
Phone (713) 486-9300

6410 Fannin St
Ste 135
Houston, TX 77030

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1941 East Rd
Houston, TX 77054
Phone (713) 486-2500

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": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1659769453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200D",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "713-572-8122",
            "fax_number": "713-383-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 WEST LOOP S STE 200D",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013535",
            "telephone_number": "713-572-8122",
            "fax_number": "713-383-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AUDREY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.