DR. THOMAS G MILLER (PH.D.) – Clinical Neuropsychologist, NPI 1720094477

DR. THOMAS G MILLER (PH.D.) is a healthcare provider. based in Portland, Maine. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PS1042 (ME). The NPI Number for DR. THOMAS G MILLER (PH.D.) is 1720094477

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS G MILLER (PH.D.)
NPI
1720094477
Phone
(207) 773-7406
Address
86 DARTMOUTH ST
Enumeration Date
1 August 2006
Last Update Date
19 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077956110
Graduation Year
2000 (26 years ago)
PAC ID
8123011673
Group Practice PAC ID
7911961032
Professional Enrollment ID
I20040408000389
Address ID
ME042405935LE618XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

173 CLINICAL PSYCHOLOGIST in ME

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Provider Addresses for DR. THOMAS G MILLER (PH.D.)

  • 86, Dartmouth Street, Oakdale, Portland, Cumberland County, Maine, 04103, United States

    PORTLAND, ME 041034808

    Phone: (207) 773-7406

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040408000389IClinical PsychologistMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911961032View full group profile
NameSpecialtyState
Clinical PsychologistME
Occupational Therapist In Private PracticeME
Qualified Speech Language PathologistME
Physical Therapist In Private PracticeMA
-ME
-ME
Occupational Therapist In Private PracticeME
Occupational Therapist In Private PracticeME
-MA
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

What federal number belongs to DR. THOMAS G MILLER (PH.D.)?
The federal identifier for DR. THOMAS G MILLER (PH.D.) is NPI 1720094477.
Does this profile mean DR. THOMAS G MILLER (PH.D.) is currently active?
Yes — DR. THOMAS G MILLER (PH.D.) appears active in the national provider directory.
What does DR. THOMAS G MILLER (PH.D.) treat or focus on?
Patients typically see DR. THOMAS G MILLER (PH.D.) under the specialty Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. THOMAS G MILLER (PH.D.)?
The snapshot lists Portland, Maine for DR. THOMAS G MILLER (PH.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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