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DR. KEVIN WAYNE MILLER PHD
NPI 1407920283
Psychologist - Clinical in Green Bay, WI

Active since November 20, 2006
2131 S WEBSTER AVE, SUITE 105, GREEN BAY, WI 54301(920) 366-7792 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Wayne Miller Phd NPPES

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

DR. KEVIN WAYNE MILLER PHD (NPI 1407920283) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (2309-057) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1407920283
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEVIN WAYNE MILLERCredential: PHD
Location Address2131 S WEBSTER AVE, SUITE 105Green Bay, WI 54301-2288
Mailing Address2131 S Webster Ave, Suite 105Green Bay, WI 54301-2288 · (920) 366-7792
Phone(920) 366-7792
Sole ProprietorYes
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 4, 2010
✔ NPI 1407920283 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 WI · 2309-057
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.
2131 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 1

Medicare ID-Type Unspecified84011WI · Medicare Id

Other Providers at the Same Location NPPES 2

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

KEYSTONE PSYCHOLOGY LLC
Community/Behavioral Health
2131 S WEBSTER AVE, SUITE 105
GREEN BAY, WI 54301
Brown County (920) 366-7792
ASPEN PSYCHOLOGY LLC
Community/Behavioral Health
2131 S WEBSTER AVE, SUITE 105
GREEN BAY, WI 54301
Brown County (920) 544-6712

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 Kevin Miller's NPI number?

The NPI number for Kevin Miller is 1407920283. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Kevin Miller located?

Kevin Miller practices at 2131 S Webster Ave Suite 105, Green Bay, WI 54301. The listed phone number is (920) 366-7792.

What is Kevin Miller's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Miller was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.