DR. RANDI KOBREN MILLER PH.D.
NPI 1952468951
Psychologist - Clinical in Baltimore, MD

Active since January 02, 2007Opted out of Medicare · through Apr 1, 2027
1501 SULGRAVE AVE, SUITE 306, BALTIMORE, MD 21209(410) 664-0018(410) 664-0683 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Randi Kobren Miller Ph.d. NPPES

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

DR. RANDI KOBREN MILLER PH.D. (NPI 1952468951) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (MD2847) and active in the NPI registry since January 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952468951
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RANDI KOBREN MILLERCredential: PH.D.
Location Address1501 SULGRAVE AVE, SUITE 306Baltimore, MD 21209-3654
Mailing Address3747 Birch LnOwings Mills, MD 21117-1425 · (410) 664-0018 · Fax (410) 664-0683
Fax(410) 664-0683
Sole ProprietorYes
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1952468951 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 MD · MD2847
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.

1501 SULGRAVE AVE, Baltimore, MD 21209

Other Identifiers 1

Medicare ID-Type UnspecifiedGL17MD

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. Randi Kobren Miller Ph.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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 20

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

Psychiatry & Neurology (Psychiatry)
1501 SULGRAVE AVE, SUITE 205
BALTIMORE, MD 21209
Psychologist (Clinical)
1501 SULGRAVE AVE, SUITE 208
BALTIMORE, MD 21209
Social Worker (Clinical)
1501 SULGRAVE AVE, 202
BALTIMORE, MD 21209
Physical Therapist
1501 SULGRAVE AVE, SUITE 307
BALTIMORE, MD 21209
Acupuncturist
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Psychiatry & Neurology (Psychiatry)
1501 SULGRAVE AVE, SUITE 205
BALTIMORE, MD 21209
Psychiatry & Neurology (Psychiatry)
1501 SULGRAVE AVE, SUITE 202
BALTIMORE, MD 21209
Specialist
1501 SULGRAVE AVE, SUITE 205
BALTIMORE, MD 21209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952468951, enumerated as an "individual" on January 02, 2007.

The provider is located at 1501 SULGRAVE AVE SUITE 306 BALTIMORE, MD 21209 and the phone number is (410) 664-0018.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.