Kathleen Stroup Neal, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23511 Issued in CA

Practice address

24900 Highway 202
California Correctional Institution
Tehachapi, CA 93561

Phone

(661) 557-5657

Fax

(661) 823-3362

NPI assigned

Mar 1, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kathleen Anne Stroup Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Department of Correction/ Rehabilitation

  • Prison Health Clinic/Center
  • Tehachapi, CA
  • NPI 1699027730
  NPD (past)
• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Tehachapi, CA
  • NPI 1750916565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1023358926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935810534",
            "telephone_number": "661-822-4402",
            "fax_number": "661-823-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 HIGHWAY 202",
            "address_2": "CALIFORNIA CORRECTIONAL INSTITUTION",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "93561",
            "telephone_number": "661-557-5657",
            "fax_number": "661-823-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "KATHLEEN",
        "middle_name": "STROUP",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "STROUP",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mulberry Place Assisted Living III
• Mulberry Place Assisted Living VI
• Mulbrry Place Assisted Living IV
• Dale Akira Nakayama, DDS
• Cassandra Eliese Naranjo
• David Nehorai, D.C.
• Diane Marie Nesser
• Never Give Up Mental Health, a Nursing Corporation
• Jenee Monette Newman, RDH,RDHAP
• David L Nguyen, DMD

• Psychologist in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.