KIMBERLY W. MILLER, PSY.D., P.A.
NPI 1275969453
Psychologist - Clinical in Brandon, FL

Q: What is Kimberly W. Miller, Psy.D., P.A.'s NPI number?

The NPI number for Kimberly W. Miller, Psy.D., P.A. is 1275969453. It was assigned to this organization in the NPPES registry on September 19, 2013.

Q: What is Kimberly W. Miller, Psy.D., P.A.'s specialty?

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

Active since September 19, 2013

3457 BROOK CROSSING DR, BRANDON, FL 33511(510) 708-5973 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kimberly W. Miller, Psy.d., P.a. NPPES

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

KIMBERLY W. MILLER, PSY.D., P.A. (NPI 1275969453) is a healthcare organization registered as a clinical in Brandon, Florida and active in the NPI registry since September 2013. The organization lists Kimberly W Miller, President, as its authorized official.

NPPES Registry Identity

NPI1275969453

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKIMBERLY W. MILLER, PSY.D., P.A.

Location Address3457 BROOK CROSSING DRBrandon, FL 33511-8181

Mailing Address3457 Brook Crossing DrBrandon, FL 33511 · (510) 708-5973

Phone(510) 708-5973

Organization SubpartNo

Authorized OfficialKimberly W MillerPresident · (510) 708-5973

Enumeration DateSeptember 19, 2013

Last NPPES UpdateNovember 21, 2013

✔ NPI 1275969453 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 FL · PY8794

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.

3457 BROOK CROSSING DR, Brandon, FL 33511

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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)

Kimberly W. Miller, Psy.d., 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 Kimberly W. Miller, Psy.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Miller, PSY.D.

Clinical Psychologist

NPI 1851725584

3457 BROOK CROSSING DR
Brandon, FL 33596

(813) 708-9157

✔ PECOS✔ Accepts Medicare0.1 mi

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 Kimberly W. Miller, Psy.D., P.A.'s NPI number?

The NPI number for Kimberly W. Miller, Psy.D., P.A. is 1275969453. It was assigned to this organization in the NPPES registry on September 19, 2013.

Where is Kimberly W. Miller, Psy.D., P.A. located?

Kimberly W. Miller, Psy.D., P.A. is located at 3457 Brook Crossing Dr, Brandon, FL 33511. The listed phone number is (510) 708-5973.

What is Kimberly W. Miller, Psy.D., P.A.'s specialty?

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

Is Kimberly W. Miller, Psy.D., P.A. enrolled in Medicare?

Yes. Kimberly W. Miller, Psy.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kimberly W. Miller, Psy.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kimberly W. Miller, Psy.D., 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 Kimberly W. Miller, Psy.D., P.A. was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.