DR. KIMBERLY MICHELLE MILLER PH.D.
NPI 1174843767
Clinical Neuropsychologist in Sacramento, CA

Q: What is Kimberly Miller's NPI number?

The NPI number for Kimberly Miller is 1174843767. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Q: What is Kimberly Miller's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Kimberly Miller enrolled in Medicare?

No. Kimberly Miller has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Miller was last updated on May 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 04, 2010Opted out of Medicare · through Oct 1, 2026

4860 Y ST, SACRAMENTO, CA 95817(916) 734-3588(916) 734-9661 Get Directions Write a Review

NPPES record last updated: May 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kimberly Michelle Miller Ph.d. NPPES

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

DR. KIMBERLY MICHELLE MILLER PH.D. (NPI 1174843767) is an individual clinical neuropsychologist in Sacramento, California, licensed in California (23018) and active in the NPI registry since June 2010. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174843767

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. KIMBERLY MICHELLE MILLERCredential: PH.D.

Location Address4860 Y STSacramento, CA 95817-2307

Mailing Address4900 Broadway, Suite 2800Sacramento, CA 95820-1532 · (916) 734-9313 · Fax (916) 734-9661

Phone(916) 734-3588

Fax(916) 734-9661

Sole ProprietorNo

Enumeration DateJune 4, 2010

Last NPPES UpdateMay 1, 2016

✔ NPI 1174843767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · 23018

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 23018 (CA)

4860 Y ST, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kimberly Michelle Miller Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE PALVOLGYI M.D.

Student in an Organized Health Care Education/Training Program

4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817

Sacramento County (916) 734-5292

KATHRYN D NEWELL M.D.

Internal Medicine

4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817

Sacramento County (916) 734-4843

DR. SARAH GONG MD

Internal Medicine

4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817

Sacramento County (916) 734-3514

BRIAN JOVES M.D.

Physical Medicine & Rehabilitation

4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817

Sacramento County (916) 734-5292

JAYLA WATKINS MD

Obstetrics & Gynecology

4860 Y ST
SACRAMENTO, CA 95817

Sacramento County (916) 734-6978

JONATHAN BINDI MD

General Acute Care Hospital

4860 Y ST
SACRAMENTO, CA 95817

Sacramento County (916) 734-6602

REGENTS OF THE UNIV OF CA

Obstetrics & Gynecology (Maternal & Fetal Medicine)

4860 Y ST
SACRAMENTO, CA 95817

Sacramento County (916) 734-6930

DR. SANDHYA VENUGOPAL M.D.

Internal Medicine (Cardiovascular Disease)

4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817

Sacramento County (916) 734-3764

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 Kimberly Miller's NPI number?

The NPI number for Kimberly Miller is 1174843767. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Kimberly Miller located?

Kimberly Miller practices at 4860 Y St, Sacramento, CA 95817. The listed phone number is (916) 734-3588.

What is Kimberly Miller's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kimberly Miller enrolled in Medicare?

No. Kimberly Miller has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberly Miller was last updated on May 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.