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: July 19, 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
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

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.

Community/Behavioral Health
2131 S WEBSTER AVE, SUITE 105
GREEN BAY, WI 54301
Community/Behavioral Health
2131 S WEBSTER AVE, SUITE 105
GREEN BAY, WI 54301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407920283, enumerated as an "individual" on November 20, 2006.

The provider is located at 2131 S WEBSTER AVE SUITE 105 GREEN BAY, WI 54301 and the phone number is (920) 366-7792.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.