DR. DEBORAH COLLEEN MILLER (PSY.D.) – Mental Health Counselor, NPI 1417909177

DR. DEBORAH COLLEEN MILLER (PSY.D.) is a healthcare provider. based in Ham lake, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. LP0180 (MN). The NPI Number for DR. DEBORAH COLLEEN MILLER (PSY.D.) is 1417909177

Main info

Female
31 Years Of Experience
Name
DR. DEBORAH COLLEEN MILLER (PSY.D.)
NPI
1417909177
Phone
(763) 785-8111
Address
14120 TERRACE RD NE
Enumeration Date
17 May 2006
Last Update Date
2 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637858111
Graduation Year
1995 (31 years ago)
PAC ID
7315970605
Group Practice PAC ID
2961435250
Professional Enrollment ID
I20050916000468
Address ID
MN554335859CO199XXNWXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. DEBORAH COLLEEN MILLER (PSY.D.)

  • 14120, Terrace Road Northeast, Ham Lake, Anoka County, Minnesota, 55304, United States

    HAM LAKE, MN 553046779

    Phone: (763) 785-8111

    Fax: (763) 785-6946

    Type: Mailing

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States

    COON RAPIDS, MN 554335831

    Phone: (763) 785-8111

    Fax: (763) 785-6946

    Type: Location

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: 2005-09-16

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
I20050916000468IClinical PsychologistMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15017$0
View full utilization report →

Insurance plans in this area (ZIP 55304)

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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: 2961435250View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

How do payers reference DR. DEBORAH COLLEEN MILLER (PSY.D.)?
For DR. DEBORAH COLLEEN MILLER (PSY.D.), use NPI 1417909177 as the unique 10-digit identifier.
Would DR. DEBORAH COLLEEN MILLER (PSY.D.) appear as active to a payer?
You can treat DR. DEBORAH COLLEEN MILLER (PSY.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. DEBORAH COLLEEN MILLER (PSY.D.)?
DR. DEBORAH COLLEEN MILLER (PSY.D.)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DEBORAH COLLEEN MILLER (PSY.D.)?
Travel planning: use Ham Lake, Minnesota as the reference point for DR. DEBORAH COLLEEN MILLER (PSY.D.), then confirm.
Does DR. DEBORAH COLLEEN MILLER (PSY.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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