Dr. Josiah James Miller
Psychologist Health Service Family Psychologist Clinical Psychologist and 1 more
4130 W Addison St Fl 2
Chicago
, Illinois 60641-3907
Dr. Josiah James Miller
Psychologist Health Service Family Psychologist Clinical Psychologist and 1 more
4130 W Addison St Fl 2
Chicago
, Illinois 60641-3907
(312) 918-8776
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Family Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Josiah James Miller
- 4130 W Addison St Fl 2
- Chicago, IL
- Zip : 60641-3907
- Phone : (312) 918-8776
Second Address
- Dr. Josiah James Miller
- 4130 W Addison St Fl 2
- Chicago, IL
- Zip : 60641-3907
- Phone : (312) 918-8776
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | 071.010003 | IL |
| N | 103T00000X | Psychologist | 071.010003 | IL |
| Y | 103G00000X | Clinical Psychologist | 071.010003 | IL |
| Y | 103TC0700X | Clinical Psychologist | 071.010003 | IL |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 071.010003 | IL |
| N | 103TF0000X | Family Psychologist | 071.010003 | IL |
| N | 103TH0100X | Health Service | 071.010003 | IL |
National Provider Identifier
| NPI | 1023521200 |
|---|---|
| Provider Name | Dr. Josiah James Miller |
| First Address | Chicago, IL 60641-3907 |
| Second Address | Chicago, IL 60641-3907 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2017 |
| Last Update Date | 20/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6938025 | AETNA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.