Kimberley Miller, PHD
NPI 1376090514ActiveIndividual· Psychologist, Clinical· Park Ridge, IL
Psychologist, Clinical (PHD) with McLaren Flint, practicing in Park Ridge, Illinois. Enrolled in Medicare as practitioner - clinical psychologist. Lists McLaren Flint as a hospital affiliation.
Overview
| NPI | 1376090514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 6, 2016 |
| Last updated in NPPES | Dec 1, 2022 |
| Certified by provider | Oct 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071010794 | IL |
| Psychologist | 103T00000X | — | — |
| Psychologist | 103T00000X | 071010794 | IL |
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 (MI) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- McLaren FlintFlint, MI · 143 clinicians
Hospital affiliation
- McLaren FlintFlint, MI
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