Keiko Yafa Miller, PSY.D., MSCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28008 Issued in CA

Practice address

2815 Mitchell Dr Ste 119
Walnut Creek, CA 94598-1622

Phone

(925) 885-6070

Fax

(925) 835-7071

NPI assigned

Apr 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1720442965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MORNINGSIDE WAY",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232467",
            "telephone_number": "925-885-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 MITCHELL DR STE 119",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981622",
            "telephone_number": "925-885-6070",
            "fax_number": "925-835-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEIKO",
        "middle_name": "YAFA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MSCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY28008",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Miller, CNM
• Edward M Miller, M.D.
• Gabriel Brenay Miller
• Hagit Miller, PSY D
• Jennifer Miller
• Lanisha Miller
• Megan Alise Miller, PSYD
• Robert F Miller, D.D.S.
• Robert John Miller, MA
• Sada Anand Miller, D.C.

• Clinical Psychologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.