JESSICA JEANNE MILLER PSY.D.
NPI 1467862441
Psychologist in Chicago, IL

Active since April 30, 2014Opted out of Medicare · through Jan 19, 2027
5340 N CLARK ST STE 212, CHICAGO, IL 60640(773) 750-3505 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2020, Jan 16, 2018, Nov 27, 2017 (3 updates tracked since 2017).

About Jessica Jeanne Miller Psy.d. NPPES

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

JESSICA JEANNE MILLER PSY.D. (NPI 1467862441) is an individual psychologist in Chicago, Illinois and active in the NPI registry since April 2014. She has opted out of Medicare through January 19, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467862441
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA JEANNE MILLERCredential: PSY.D.
Location Address5340 N CLARK ST STE 212Chicago, IL 60640-2120
Mailing Address4925 N Winchester Ave Apt 2Chicago, IL 60640-6945
Sole ProprietorYes
Enumeration DateApril 30, 2014
Last NPPES UpdateJune 26, 20203 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
NPI 1467862441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5340 N CLARK ST STE 212, Chicago, IL 60640

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jessica Jeanne Miller Psy.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 January 19, 2019 through January 19, 2027.

Opt-Out Effective DateJanuary 19, 2019
Opt-Out In Effect ThroughJanuary 19, 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.

Other Providers at the Same Location NPPES 7

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

Psychologist (Counseling)
5340 N CLARK ST STE 212
CHICAGO, IL 60640
Social Worker (Clinical)
5340 N CLARK ST STE 212
CHICAGO, IL 60640
Counselor (Professional)
5340 N CLARK ST STE 212
CHICAGO, IL 60640
Counselor (Professional)
5340 N CLARK ST STE 212
CHICAGO, IL 60640
Counselor (Professional)
5340 N CLARK ST STE 212
CHICAGO, IL 60640
Counselor (Mental Health)
5340 N CLARK ST STE 212
CHICAGO, IL 60640
Social Worker (Clinical)
5340 N CLARK ST STE 212
CHICAGO, IL 60640

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 Jessica Miller's NPI number?

The NPI number for Jessica Miller is 1467862441. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Jessica Miller located?

Jessica Miller practices at 5340 N Clark St Ste 212, Chicago, IL 60640. The listed phone number is (773) 750-3505.

What is Jessica Miller's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica Miller enrolled in Medicare?

No. Jessica Miller has opted out of Medicare through January 19, 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 Jessica Miller was last updated on June 26, 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.