DR. KATHRYN BREVARD MILLER PH.D.
NPI 1558305565
Psychologist - Clinical in Golden Valley, MN

Q: What is Kathryn Miller's NPI number?

The NPI number for Kathryn Miller is 1558305565. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Kathryn Miller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Miller was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 16, 2006PECOS Enrolled

5101 OLSON MEMORIAL HWY, SUITE 4004, GOLDEN VALLEY, MN 55422(763) 595-7294(763) 595-7293 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Kathryn Brevard Miller Ph.d. NPPES

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

DR. KATHRYN BREVARD MILLER PH.D. (NPI 1558305565) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (4359) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1558305565

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHRYN BREVARD MILLERCredential: PH.D.

Location Address5101 OLSON MEMORIAL HWY, SUITE 4004Golden Valley, MN 55422-5149

Mailing Address5101 Olson Memorial Hwy, Suite 4004Golden Valley, MN 55422-5149 · (763) 595-7294 · Fax (763) 595-7293

Phone(763) 595-7294

Fax(763) 595-7293

Sole ProprietorYes

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000

Enumeration DateJune 16, 2006

Last NPPES UpdateMay 20, 2008

✔ NPI 1558305565 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 MN · 4359

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.

5101 OLSON MEMORIAL HWY, Golden Valley, MN 55422

Open in Google Maps ↗

Other Identifiers 3

Other365LOMIMN · Bluecrossblueshield

Medicare PIN680002014MN

Medicaid128427400MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathryn Brevard Miller Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517996739

PECOS Enrollment IDI20050809000104

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kathryn B. Miller, P.A.

Same address

Clinical

5101 OLSON MEMORIAL HWY, SUITE 4004
Golden Valley, MN 55422

Reassigned Medicare billing, Minnesota enrollment

NPI 1114969409 (763) 595-7294

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 9

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

CAROL B. PETERSON PH.D., L.P., LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

5101 OLSON MEMORIAL HWY, SUITE 4005
GOLDEN VALLEY, MN 55422

Hennepin County (763) 595-7294

KATHRYN B. MILLER, P.A.

Psychologist (Clinical)

5101 OLSON MEMORIAL HWY, SUITE 4004
GOLDEN VALLEY, MN 55422

Hennepin County (763) 595-7294

K.A. JACOBSON, PH.D., PLLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

5101 OLSON MEMORIAL HWY, SUITE 4003
GOLDEN VALLEY, MN 55422

Hennepin County (763) 595-7294

DR. ROSLYN BETH BINFORD HOPF PHD, LP

Psychologist (Clinical)

5101 OLSON MEMORIAL HWY, STE 4009
GOLDEN VALLEY, MN 55422

Hennepin County (763) 595-7294

CHRISTINE GIBBON, PHD, LP, LLC

Psychologist (Clinical)

5101 OLSON MEMORIAL HWY, SUITE 4002
GOLDEN VALLEY, MN 55422

Hennepin County (763) 595-7294

DR. KERRY G. AIKMAN PH.D.

Psychologist (Clinical)

5101 OLSON MEMORIAL HWY, SUITE 4006
GOLDEN VALLEY, MN 55422

Hennepin County (612) 246-3017

JUDITH BLAIR HENDERSON PH.D.

Psychologist (Health Service)

5101 OLSON MEMORIAL HWY, SUITE 4002
GOLDEN VALLEY, MN 55422

Hennepin County (763) 595-7294

DR. DIANN M ACKARD PH.D.

Psychologist

5101 OLSON MEMORIAL HWY, #4001
GOLDEN VALLEY, MN 55422

Hennepin County (763) 595-7294

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 Kathryn Miller's NPI number?

The NPI number for Kathryn Miller is 1558305565. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kathryn Miller located?

Kathryn Miller practices at 5101 Olson Memorial Hwy Suite 4004, Golden Valley, MN 55422. The listed phone number is (763) 595-7294.

What is Kathryn Miller's specialty?

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

Is Kathryn Miller enrolled in Medicare?

Yes. Kathryn Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Miller reassigns Medicare benefits to Kathryn B. Miller, P.A. (Golden Valley, MN). The 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 Kathryn Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Miller was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.