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SAMANTHA MILLER PSYD
NPI 1447817010
Psychologist - Clinical in Pasadena, CA

Active since May 20, 2019Opted out of Medicare · through Jun 26, 2027
107 S FAIR OAKS AVE STE 219, PASADENA, CA 91105(626) 600-6346 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2020, May 20, 2019 (2 updates tracked since 2019).

About Samantha Miller Psyd NPPES

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

SAMANTHA MILLER PSYD (NPI 1447817010) is an individual clinical provider in Pasadena, California, licensed in California (PSY30998) and active in the NPI registry since May 2019. She has opted out of Medicare through June 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447817010
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSAMANTHA MILLERCredential: PSYD
Location Address107 S FAIR OAKS AVE STE 219Pasadena, CA 91105-2082
Mailing Address107 S Fair Oaks Ave Ste 219Pasadena, CA 91105-2082 · (626) 600-6346
Phone(626) 600-6346
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1447817010 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 CA · PSY30998
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.
107 S FAIR OAKS AVE STE 219, Pasadena, CA 91105
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Samantha Miller Psyd 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 June 26, 2019 through June 26, 2027.

Opt-Out Effective DateJune 26, 2019
Opt-Out In Effect ThroughJune 26, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Samantha Miller's NPI number?

The NPI number for Samantha Miller is 1447817010. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Samantha Miller located?

Samantha Miller practices at 107 S Fair Oaks Ave Ste 219, Pasadena, CA 91105. The listed phone number is (626) 600-6346.

What is Samantha Miller's specialty?

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

Is Samantha Miller enrolled in Medicare?

No. Samantha Miller has opted out of Medicare through June 26, 2027. 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 Samantha Miller was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.