Individual provider Active NPI

John Scott Neil, PSY.D.

  • Psychologist
  • Williamsport, PA
National Provider Identifier
1053339291
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1521 Washington Blvd
Williamsport, PA 17701-5426
Phone
(570) 322-5051
Fax
(570) 322-6788
NPI assigned
Jul 17, 2006
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary
Clinical Psychologist 103TC0700X PS008553L PA
Counseling Psychologist 103TC1900X PS008553L PA
Clinical Child & Adolescent Psychologist 103TC2200X PS008553L PA
Forensic Psychologist 103TF0200X PS008553L PA

Addresses

Primary practice location

1521 Washington Blvd
Williamsport, PA 17701-5426

Mailing address

1521 Washington Blvd
Williamsport, PA 17701-5426
Phone (570) 322-5051

Other identifiers 7

IdentifierTypeStateIssuer
680015447OtherPARAILROAD MEDICARE
272093OtherPAHIGHMARK BLUE SHIELD
042795OtherPAVALUE OPTIONS
092560000OtherPAMAGELLAN
12214OtherPACIGNA BEHAVIORAL HEALTH
1015369010001MedicaidPA
805505OtherPAFIRST PRIORITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000307 PA Practitioner - Clinical Psychologist 1658389663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stocki and Neil Counseling Associates, PCGroup PAC ID 0749181238, 2 clinicians

Practice addresses (Care Compare)

1521 Washington Blvd
Williamsport, PA 17701-5426
Phone (570) 322-5051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS008553LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stocki & Neil Counseling Associates, PC Clinical CurrentSince Feb 1, 2000 Accepting new patients
Associates in Neuropsychology & Collaborative Healthcare, PC PastSince May 17, 2005 Accepting new patients

Locations

1521 Washington Blvd
Williamsport, PA 17701
Phone (570) 322-5051

413 Washington Blvd
Williamsport, PA 17701
Phone (570) 322-5051

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1053339291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015426",
            "telephone_number": "570-322-5051",
            "fax_number": "570-322-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 WASHINGTON BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015426",
            "telephone_number": "570-322-5051",
            "fax_number": "570-322-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIL",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008553L",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS008553L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS008553L",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS008553L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680015447",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "272093",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "042795",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "092560000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "12214",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015369010001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "805505",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.