Individual provider Active NPI

Babita Viegas Miller, PH.D.

  • Clinical Psychologist
  • Park Ridge, IL
National Provider Identifier
1891993911
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.006750 Issued in IL
Practice address
1480 Renaissance Dr
Suite 205
Park Ridge, IL 60068-1332
Phone
(847) 751-4651
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.006750 IL Primary
Psychologist 103T00000X 071.006750 IL

Addresses

Primary practice location

1480 Renaissance Dr
Suite 205
Park Ridge, IL 60068-1332

Mailing address

1480 Renaissance Dr
Suite 205
Park Ridge, IL 60068-1332
Phone (847) 751-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.006750ILMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: bviegasmiller208682@direct.myadvocateaurora.org

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1891993911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR",
            "address_2": "SUITE 205",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681332",
            "telephone_number": "847-751-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR",
            "address_2": "SUITE 205",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681332",
            "telephone_number": "847-751-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEGAS MILLER",
        "first_name": "BABITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.006750",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.006750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.