DR. DONALD J MIRO PH.D.
NPI 1093912644
Psychologist in Evanston, IL

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
1889 MAPLE AVE UNIT W2, EVANSTON, IL 60201(847) 912-5316 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Donald J Miro Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONALD J MIRO PH.D. (NPI 1093912644) is an individual psychologist in Evanston, Illinois, licensed in Illinois (071002873) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1981).

NPPES Registry Identity

NPI1093912644
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DONALD J MIROCredential: PH.D.
Location Address1889 MAPLE AVE UNIT W2Evanston, IL 60201-3169
Mailing Address1889 Maple Ave Unit W2Evanston, IL 60201-3169 · (847) 912-5316
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1981
Enumeration DateJune 28, 2007
Last NPPES UpdateMarch 21, 2017
✔ NPI 1093912644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in IL · 071002873
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1889 MAPLE AVE UNIT W2, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald J Miro Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527311208
PECOS Enrollment IDI20181025002742
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Donald Miro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
655 DEERFIELD RD STE 100-303
Deerfield, IL 60015
  • Reassigned Medicare billing, Illinois enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
5,781 services116 patients
Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
1,949 services105 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Miro's NPI number?

The NPI number for Donald Miro is 1093912644. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Donald Miro located?

Donald Miro practices at 1889 Maple Ave Unit W2, Evanston, IL 60201. The listed phone number is (847) 912-5316.

What is Donald Miro's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Donald Miro enrolled in Medicare?

Yes. Donald Miro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Donald Miro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Miro reassigns Medicare benefits to Davken Associates, P.C. (Deerfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Miro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Miro was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.