Active NPI
Nicole Michele Hoffman Miller, PSY.D.
- Psychologist
- Cleveland, TN
National Provider Identifier
1962608588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4123
- Practice address
- 2700 Executive Park NW Ste a
Cleveland, TN 37312-2770 - Phone
- (540) 418-0105
- Fax
- (540) 404-2126
- NPI assigned
- Jun 21, 2007
- Last updated
- Oct 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6040 | NC | |
| Psychologist | 103T00000X | 4123 | TN | Primary |
| Psychologist | 103T00000X | 0810004434 | VA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0810004434 | VA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4123 | TN | |
| Family Psychologist | 103TF0000X | 4123 | TN | |
| Family Psychologist | 103TF0000X | 0810004434 | VA |
Addresses
Primary practice location
2700 Executive Park NW Ste a
Cleveland, TN 37312-2770
Mailing address
3139 Brookmore TRL NW
Cleveland, TN 37312-2421
Phone (540) 759-0037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962608588 | Medicaid | VA |
Other names 1
- Dr. Nicole Michele Hoffman Miller
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004434 | VA | MD | Family Psychologist |
| 6040 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
| Nicole Hoffman Miller PSYD LLC | Current | Accepting new patients |
Locations
3697 East Wilson St
Farmville, NC 27828
2700 Executive Park NW
Ste A
Cleveland, TN 37312
Phone (423) 436-1565
606 S Market St
Salem, VA 24153
Phone (423) 967-9951
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Cleveland, TN
- NPI 1376262840
-
- Community/Behavioral Health Agency
- Salem, VA
- NPI 1710487970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1962608588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3139 BROOKMORE TRL NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373122421",
"telephone_number": "540-759-0037",
"fax_number": "540-404-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 EXECUTIVE PARK NW STE A",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373122770",
"telephone_number": "540-418-0105",
"fax_number": "540-404-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN MILLER",
"first_name": "NICOLE",
"middle_name": "MICHELE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "6040",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "4123",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810004434",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "0810004434",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TN",
"license": "4123",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "TN",
"license": "4123",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "VA",
"license": "0810004434",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962608588",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HOFFMAN MILLER",
"middle_name": "MICHELE",
"prefix": "DR.",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland, TN
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- Christopher Scott Hindsman, PHARMD
- Hineni Counseling & Consulting, PLLC
- Melissa Gail Hixson, FNP
- Samantha Danyell Holcomb, RT (R), RDMS
- Ashley Nicole Holland, PHARM.D.
- Ashley R Holland
- William A Holland Jr., M.D.
- Cammy Shawn Holmes, HEALTH EDUCATOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.