Kim Patricia Miller, PH.D.
NPI 1053319947ActiveIndividual· Psychologist, Clinical· Atlanta, GA
Psychologist, Clinical (PH.D.) with Island Psychiatry PC and 1 other group, practicing in Atlanta, Georgia. Medicare paid $13,792 for services to 12 patients in 2024.
Overview
| NPI | 1053319947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Jul 13, 2005 |
| Last updated in NPPES | Jun 24, 2025 |
| Certified by provider | Jun 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY004728 | GA |
| Clinical Neuropsychologist | 103G00000X | 016390 | NY |
| Psychologist, Clinical | 103TC0700X | 016390 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL); Practitioner - Clinical Psychologist (GA); Practitioner - Clinical Psychologist (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 169 across 12 procedure codes |
| Paid by Medicare | $13,792 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical groups
- Island Psychiatry PCPort Jefferson Station, NY · 14 clinicians
- Elizabeth Newton, Psyd and Assoc IncAtlanta, GA · 2 clinicians
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All 454 clinical psychologists in Atlanta · All clinical psychologists in Georgia