DR. AUDREY JEAN MILLER PSYD
NPI 1740615384
Psychologist in Grover Beach, CA

Active since September 12, 2013PECOS Enrolled
1461 BRIGHTON AVE, GROVER BEACH, CA 93433(805) 471-3563 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2023, Aug 30, 2019 (2 updates tracked since 2019).

About Dr. Audrey Jean Miller Psyd NPPES

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

DR. AUDREY JEAN MILLER PSYD (NPI 1740615384) is an individual psychologist in Grover Beach, California, licensed in California (30690) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740615384
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AUDREY JEAN MILLERCredential: PSYD
Location Address1461 BRIGHTON AVEGrover Beach, CA 93433-1890
Mailing AddressPo Box 745Pismo Beach, CA 93448-0745 · (805) 471-3563
Sole ProprietorNo
Enumeration DateSeptember 12, 2013
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1740615384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 30690
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.
1461 BRIGHTON AVE, Grover Beach, CA 93433

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Audrey Jean Miller Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Audrey Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1461 BRIGHTON AVE
Grover Beach, CA 93433
  • Reassigned Medicare billing, California enrollment

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

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
1461 BRIGHTON AVE
GROVER BEACH, CA 93433

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 Audrey Miller's NPI number?

The NPI number for Audrey Miller is 1740615384. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Audrey Miller located?

Audrey Miller practices at 1461 Brighton Ave, Grover Beach, CA 93433. The listed phone number is (805) 471-3563.

What is Audrey Miller's specialty?

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

Is Audrey Miller enrolled in Medicare?

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

Which organization bills Medicare for Audrey Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Miller reassigns Medicare benefits to Pacific Oaks Psychology Services, A Professional Corporation (Grover Beach, CA). 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 Audrey 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 Audrey Miller was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.