Joan Irene Miller, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

659 Issued in GA

Practice address

2520 Windy Hill Road
Suite 106
Marietta, GA 30067-8663

Phone

(770) 952-3308

Fax

(770) 952-3309

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982776308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL ROAD",
            "address_2": "SUITE 106",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678663",
            "telephone_number": "770-952-3308",
            "fax_number": "770-952-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL ROAD",
            "address_2": "SUITE 106",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678663",
            "telephone_number": "770-952-3308",
            "fax_number": "770-952-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOAN",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle V Miller, MA, APC, NCC
• Deborah E Miller, D.C.
• Eboni Chauntae Miller, PA-C
• Elizabeth P. Miller
• Jack L Miller, M.D.
• John David Miller, O.D.
• Katherine E Miller, NP-C
• Kimberly Nicole Miller, DNP, FNP-C
• Laura Anne Miller, MSPT
• Louis Brian Miller, O.D.

• Clinical Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.