Kathleen A. Sandal-Miller, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1651 Issued in CO

Practice address

19755 E Pikes Peak CT
Suite 202
Parker, CO 80138-7414

Phone

(303) 841-0529

Fax

(720) 851-3075

NPI assigned

Jul 23, 2008

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Kathleen S. Miller Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• The Denver Technology Group, Inc

  dba The Sandal Miller Group

  • Clinical Psychologist
  • Parker, CO
  • NPI 1477170058
  Authorized official Same address or phone

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1720243371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1057",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801341057",
            "telephone_number": "303-841-0529",
            "fax_number": "720-851-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19755 E PIKES PEAK CT",
            "address_2": "SUITE 202",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387414",
            "telephone_number": "303-841-0529",
            "fax_number": "720-851-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDAL-MILLER",
        "first_name": "KATHLEEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "COAAA4958",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MILLER",
            "middle_name": "S.",
            "prefix": "MRS.",
            "credential": "LICENSED PSYCHOLOGIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Saughar Samali, D.O.
• Alexandra Samas
• Peter Samelson
• Chacee Marie Sanchez
• Malorie Sanchez, BCBA
• Lisa Ann Sandoval, O.T
• Natalie Sands, NP
• Andrea N Sapron, APN
• Zahra Sami Sarabadani, DDS, MDS
• Robert Franklin Sarker, LPC

• Clinical Psychologist in Parker, CO
• Providers in Parker, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.