Healthcare Provider Details

I. General information

NPI: 1528289477
Provider Name (Legal Business Name): AMANDA GAIL MILLER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR SUITE 306
ORANGE CA
92868-3854
US

IV. Provider business mailing address

1310 W STEWART DR SUITE 306
ORANGE CA
92868-3854
US

V. Phone/Fax

Practice location:
  • Phone: 714-771-1404
  • Fax: 714-771-8456
Mailing address:
  • Phone: 714-771-1404
  • Fax: 714-771-8456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY16682
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY16682
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY16682
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPSY16682
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPSY16682
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: