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Deactivated NPI 1689834186 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Edwin Miles , PhD

Psychologist • Fort Worth, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Miles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 10, 2008
NPI Deactivation Date April 02, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Miles, PhD was a registered Psychologist practicing in Fort Worth, TX. Throughout an active medical career spanning 18 years, Dr. Miles provided care at the practice location at 855 MONTGOMERY ST until profile deactivation on 2026-04-02.

Historical Medicare Part B clinical services included psychiatric diagnostic evaluation, neuropsychological testing, interpretation, and report by psychologist or physician per hour. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

855 Montgomery St

Fort Worth, TX 761072553

Telephone 8177352400
Fax 8177350615
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
75 Specialists

Practicing in Fort Worth, TX (2266 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
120 114 $255.27 $125.65
96118 Neuropsychological testing, interpretation, and report by psychologist or physician per hour
96 87 $159.11 $78.33

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 33304

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Holly Cannon , DO

Psychiatry & Neurology - Psychiatry

NPI 1043547623

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Fan , MD

Psychiatry & Neurology - Psychiatry

NPI 1063777860

Doctor of Medicine (M.D.)

Janet Jowitt , NP

Nurse Practitioner - Gerontology

NPI 1083299887

Nurse Practitioner

Dr. Alan Podawiltz , DO

Psychiatry & Neurology - Psychiatry

NPI 1184693145

Doctor of Osteopathic Medicine (D.O.)

Dr. Joseph Burkett , MD

Psychiatry & Neurology - Psychiatry

NPI 1194883819

Doctor of Medicine (M.D.)

Florence Choi , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1205266913

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated April 02, 2026

Record deactivated on April 02, 2026

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Updated Practice Location February 15, 2026

Registered at 1500 S MAIN ST, FORT WORTH, TX 761044917 (Tel: 8177023636)

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Updated Business Mailing Address July 19, 2018

Registered at PO BOX 732973, DALLAS, TX 753732973 (Tel: 8177022450)

NPI Profile Active September 18, 2009

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2009

Registered at 855 MONTGOMERY ST, FORT WORTH, TX 761072553 (Tel: 8177352400)

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Updated Business Mailing Address September 18, 2009

Registered at PO BOX 99335, FORT WORTH, TX 761990335 (Tel: 8177352400)

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Provider Name / Credentials Updated September 18, 2009

Recorded as ROBERT MILES, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2009

Psychologist (License #33304 in TX)

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Initial NPI Registration & Enumeration June 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689834186
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2008
Last Update: September 18, 2009
Deactivation Date: April 02, 2026

Mailing Address

Po Box 99335

Fort Worth, TX 761990335

Phone: 8177352400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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