Active NPI
Lee Neulicht, SSP
- School Psychologist
- Monroe, NC
National Provider Identifier
1033150255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LPES 3090
- Practice address
- 414 Eubanks Rd
Monroe, NC 28112-8290 - Phone
- (704) 764-7573
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LPES 3090 | SC | Primary |
Addresses
Primary practice location
414 Eubanks Rd
Monroe, NC 28112-8290
Mailing address
414 Eubanks Rd
Monroe, NC 28112-8290
Phone (704) 764-7573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WP9909 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPES 3090 | SC | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033150255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 EUBANKS RD",
"city": "MONROE",
"state": "NC",
"postal_code": "281128290",
"telephone_number": "704-764-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 EUBANKS RD",
"city": "MONROE",
"state": "NC",
"postal_code": "281128290",
"telephone_number": "704-764-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEULICHT",
"first_name": "LEE",
"credential": "SSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "LPES 3090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WP9909",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.