Kylee Marie Miller, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2926 Issued in OR

Practice address

901 E 18TH Ave
Eugene, OR 97403

Phone

(541) 346-3575

Fax

(541) 346-5844

NPI assigned

Apr 16, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Interoperability endpoints

• Direct secure messaging: kmiller109679@direct.ohsu.edu

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.

• Kyleemillerphd

  • Developmental Disabilities Clinic/Center
  • Salem, OR
  • NPI 1619583408
  NPD Authorized official

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1902393978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974031354",
            "telephone_number": "541-346-3575",
            "fax_number": "541-346-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97403",
            "telephone_number": "541-346-3575",
            "fax_number": "541-346-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "586 Welcome Way SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973023932",
            "country_code": "US",
            "telephone_number": "919-428-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KYLEE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kenneth Miller, PH.D., LMFT
• Joshua Dale Miller, PHARM D
• Josie Miller, QMHA
• Kathleen M Miller
• Keith A Miller, MS
• Leslie Shannon Miller, PSS
• Lisa Marie Mowrer Miller
• Lohring Sherman Miller, DMD
• Mark Jay Miller, LCSW
• Melissa Miller

• Clinical Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.