KATHRYN B. MILLER, P.A.
NPI 1114969409
Psychologist - Clinical in Golden Valley, MN

Q: What is Kathryn B. Miller, P.A.'s NPI number?

The NPI number for Kathryn B. Miller, P.A. is 1114969409. It was assigned to this organization in the NPPES registry on June 12, 2006.

Q: What is Kathryn B. Miller, P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 12, 2006

5101 OLSON MEMORIAL HWY, SUITE 4004, GOLDEN VALLEY, MN 55422(763) 595-7294(763) 595-7293 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kathryn B. Miller, P.a. NPPES

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

KATHRYN B. MILLER, P.A. (NPI 1114969409) is a healthcare organization registered as a clinical in Golden Valley, Minnesota and active in the NPI registry since June 2006. The organization lists Kathryn Brevard Miller, President, as its authorized official.

NPPES Registry Identity

NPI1114969409

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKATHRYN B. MILLER, P.A.

Location Address5101 OLSON MEMORIAL HWY, SUITE 4004Golden Valley, MN 55422-5149

Mailing Address5101 Olson Memorial Hwy, Suite 4004Golden Valley, MN 55422-5149 · (763) 595-7294 · Fax (763) 595-7293

Phone(763) 595-7294

Fax(763) 595-7293

Organization SubpartNo

Authorized OfficialKathryn Brevard MillerPresident · (763) 595-7294

Enumeration DateJune 12, 2006

Last NPPES UpdateMay 20, 2008

✔ NPI 1114969409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · 4359

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5101 OLSON MEMORIAL HWY, Golden Valley, MN 55422

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Other Identifiers 3

Medicare PINCO4012MN

Other365L0MIMN · Bluecross Blueshield Of Mn

Medicaid023640000MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn B. Miller, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kathryn B. Miller, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathryn Miller, PH.D.

Clinical Psychologist

NPI 1558305565

5101 OLSON MEMORIAL HWY SUITE 4004
Golden Valley, MN 55422

(763) 595-7294

✔ PECOSSame address

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

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 Kathryn B. Miller, P.A.'s NPI number?

The NPI number for Kathryn B. Miller, P.A. is 1114969409. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Kathryn B. Miller, P.A. located?

Kathryn B. Miller, P.A. is located at 5101 Olson Memorial Hwy Suite 4004, Golden Valley, MN 55422. The listed phone number is (763) 595-7294.

What is Kathryn B. Miller, P.A.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kathryn B. Miller, P.A. enrolled in Medicare?

Yes. Kathryn B. Miller, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kathryn B. Miller, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kathryn B. Miller, P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn B. Miller, P.A. was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.