Active NPI
Donald Raymond Neiler, MA
- Psychologist
- Durham, NC
National Provider Identifier
1033239207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1748
- Practice address
- 115 Market St
Suite 201
Durham, NC 27701-3251 - Phone
- (919) 560-5600
- Fax
- (919) 560-3018
- NPI assigned
- Mar 30, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1748 | NC | Primary |
Addresses
Primary practice location
115 Market St
Suite 201
Durham, NC 27701-3251
Mailing address
2309 Darby LN
Hillsborough, NC 27278-9700
Phone (919) 732-5041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8436 | Other | NC | BCBS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1748 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC DHHS Child and Family Well-Being | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Durham, NC
- NPI 1902020308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033239207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 DARBY LN",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789700",
"telephone_number": "919-732-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MARKET ST",
"address_2": "SUITE 201",
"city": "DURHAM",
"state": "NC",
"postal_code": "277013251",
"telephone_number": "919-560-5600",
"fax_number": "919-560-3018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILER",
"first_name": "DONALD",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8436",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.