Northwest Psychological Services, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20041765A Issued in IN

Legal business name

NORTHWEST PSYCHOLOGICAL SERVICES, P.C.

Practice address

2850 45TH St Ste B
Highland, IN 46322-2905

Phone

(219) 801-0185

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jill Ann Miller, PSY.D., HSPPNPI 1386665867

Title

Clinical Psychologist

Phone

(219) 801-0479

Specialties & licenses 1

Addresses

Other names 1

• Jill A. Miller Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill A Miller, PSY.D., HSPP

  • Clinical Psychologist
  • Munster, IN
  • NPI 1386665867
  Medicare reassignment NPD Authorized official
• Barbara Maria Butler Meagher, MA.CCC-SLP L

  • Speech-Language Pathologist
  • Matteson, IL
  • NPI 1902923444
  NPD (past)
• Karen A Sobieraj, MSW LCSW BCD

  • Clinical Social Worker
  • Matteson, IL
  • NPI 1861539645
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1679978563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 NORTHCOTE AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212025",
            "telephone_number": "219-801-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 45TH ST STE B",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222905",
            "telephone_number": "219-801-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "219-801-0479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "20041765A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill A. Miller",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Joyce Nowak, CRTT
• Patrick Clark O'Donnell III, ATC
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• Carolina Ocampo, M.D.
• Christina Occhiuzzo, M.A., BCBA

• Community/Behavioral Health Agency in Highland, IN
• Providers in Highland, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.