Healthcare Provider Details

I. General information

NPI: 1255601050
Provider Name (Legal Business Name): TONYA L. MILES, PSYD, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7111 W 98TH TER STE 150
OVERLAND PARK KS
66212-6159
US

IV. Provider business mailing address

7111 W 98TH TER STE 150
OVERLAND PARK KS
66212-6159
US

V. Phone/Fax

Practice location:
  • Phone: 913-642-3134
  • Fax: 888-334-4327
Mailing address:
  • Phone: 913-642-3134
  • Fax: 888-334-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1293
License Number StateKS

VIII. Authorized Official

Name: TONYA L MILES
Title or Position: OWNER
Credential:
Phone: 913-642-3134