Jeanine Courtney Miller, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11755 Issued in TN

Practice address

103 Continental PL Ste 120
Brentwood, TN 37027-1086

Phone

(615) 462-8980

NPI assigned

Feb 4, 2008

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1932387768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 MONROE XING",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133159",
            "telephone_number": "615-578-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CONTINENTAL PL STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271086",
            "telephone_number": "615-462-8980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 21st Ave S",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372125317",
            "country_code": "US",
            "telephone_number": "615-463-7883",
            "fax_number": "615-463-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEANINE",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "11755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petra Milde, M.D.
• Laurie Ann Miles
• Ceri Miller, CNIM
• David Miller
• Derryl Joseph Miller, MD
• Madison Miller
• Steven John Miller, M.S.PHARM, D. PH.
• Kimberly Me'Chelle Milliken
• Amber Nicole Mills
• Joyce Dunston Mills, M.D.

• Clinical Psychologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinical Psychologist in Tennessee

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