DR. RENA LEE MILLER PHD
NPI 1700484623
Psychologist - Clinical in New York, NY
About Dr. Rena Lee Miller Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RENA LEE MILLER PHD (NPI 1700484623) is an individual clinical provider in New York, New York, licensed in New York (023934) and active in the NPI registry since October 2020. She has opted out of Medicare through September 12, 2027 and maintains a secondary practice location in Weehawken.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Rena Lee Miller Phd 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 September 12, 2021 through September 12, 2027.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10013
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 Rena Miller's NPI number?
The NPI number for Rena Miller is 1700484623. It was assigned to this individual provider in the NPPES registry on October 13, 2020. The provider is also known as Dr. Racheli Miller Phd.
Where is Rena Miller located?
Rena Miller practices at 447 Broadway Fl 2, New York, NY 10013. The listed phone number is (347) 948-3362.
What is Rena Miller's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Rena Miller enrolled in Medicare?
No. Rena Miller has opted out of Medicare through September 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Rena Miller was last updated on August 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Rena Lee Miller, PHD · NPI 1700484623
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since October 13, 2020.
## Identity
- **NPI:** 1700484623 (Entity type: Individual)
- **Enumerated:** October 13, 2020
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 023934 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 447 BROADWAY FL 2, New York, NY 10013-2562
- **Phone:** (347) 948-3362
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 12, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 28, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1700484623) · Data from the CMS NPPES public registry.