Provider Demographics
NPI:1023521200
Name:MILLER, JOSIAH JAMES (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOSIAH
Middle Name:JAMES
Last Name:MILLER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 S MICHIGAN AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-3362
Mailing Address - Country:US
Mailing Address - Phone:872-808-0285
Mailing Address - Fax:872-804-2525
Practice Address - Street 1:8 S MICHIGAN AVE STE 1500
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3362
Practice Address - Country:US
Practice Address - Phone:872-808-0285
Practice Address - Fax:872-804-2525
Is Sole Proprietor?:No
Enumeration Date:2017-11-10
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.010003103T00000X, 103TC2200X, 103TF0000X, 103TH0100X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
6938025OtherAETNA