Kathryn B. Miller, P.A.
NPI 1114969409ActiveOrganization· Psychologist, Clinical· Golden Valley, MN
Psychologist, Clinical in Golden Valley, Minnesota, registered in NPPES in June 2006. The authorized official on file is Kathryn Brevard Miller, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114969409 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2006 |
| Last updated in NPPES | May 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 4359 | MN |
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 Part B Supplier - Clinic/Group Practice (MN) |
|---|
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