Colleen Miller

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.011438 Issued in IL

Practice address

540 W Frontage Rd Ste 3250
Northfield, IL 60093-1282

Phone

(773) 916-6740

Fax

(402) 559-5737

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exceptional Minds Psychology PLLC

  • Clinical Psychologist
  • Northfield, IL
  • NPI 1316802457
  NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1669020608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD STE 3250",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931282",
            "telephone_number": "773-916-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD STE 3250",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931282",
            "telephone_number": "773-916-6740",
            "fax_number": "402-559-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Meynen, M.D.
• Sofia Michaels, PHARMD
• Courtney Michna
• Darlene Middleton
• Alayna Hope Miller
• Madison Jean Miller
• Akosua Mills, LSW
• Richard T Milne
• Kevin Jeffery Miretzky, MSW
• Miroslaw Walo, MD SC

• Clinical Psychologist in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.