KYLEEMILLERPHD
NPI 1619583408
Clinic/Center - Developmental Disabilities in Salem, OR

Active since September 17, 2020
586 WELCOME WAY SE, SALEM, OR 97302(919) 428-5263 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Developmental Disabilities

About KYLEEMILLERPHD

This page provides the complete NPI Profile along with additional information for Kyleemillerphd, a provider established in Salem, Oregon operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1619583408 assigned on September 2020. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Kyleemillerphd operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kylee Marie Miller Phd (Clinical Psychologist)

NPI
1619583408 Verify this NPI
Provider Name
KYLEEMILLERPHD
Entity Type
Organization
Location Address
586 WELCOME WAY SE SALEM, OR 97302
Location Phone
(919) 428-5263
Mailing Address
586 WELCOME WAY SE SALEM, OR 97302
Mailing Phone
(919) 428-5263
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2020
Last Update Date
09-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KYLEE MARIE MILLER PHD

Authorized Official Title
CLINICAL PSYCHOLOGIST
Authorized Official Phone
(919) 428-5263

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619583408, enumerated as an "organization" on September 17, 2020.

The provider is located at 586 WELCOME WAY SE SALEM, OR 97302 and the phone number is (919) 428-5263.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.