Active NPI
Meagan Nichole Miller, PSYD
- Clinical Psychologist
- Ellensburg, WA
National Provider Identifier
1780152132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY61222312
- Practice address
- 2109 W Dolarway Rd
Ellensburg, WA 98926-9367 - Phone
- (509) 968-5086
- NPI assigned
- Nov 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY61222312 | WA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
2109 W Dolarway Rd
Ellensburg, WA 98926-9367
Mailing address
2109 W Dolarway Rd
Ellensburg, WA 98926-9367
Phone (509) 668-5086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2109 W Dolarway Rd
Ellensburg, WA 98926-9367
Phone (509) 968-5086
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Psychological Services | Current | Accepting new patients |
Locations
2109 W Dolarway Rd
Ellensburg, WA 98926
Phone (509) 968-5086
Organizations & group practices 1
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.
-
- Psychologist
- Ellensburg, WA
- NPI 1356842785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695427200000",
"number": "1780152132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 W DOLARWAY RD",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989269367",
"telephone_number": "509-668-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 W DOLARWAY RD",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989269367",
"telephone_number": "509-968-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MEAGAN",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-04",
"last_updated": "2023-09-23",
"certification_date": "2023-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY61222312",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.