Douglas N Neal

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

185 Heritage Dr
Crystal Lake, IL 60014

Phone

(815) 477-4727

Fax

(815) 356-8779

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Douglas N Neal & Associates LTD

  • Psychologist
  • Crystal Lake, IL
  • NPI 1104984368
  Authorized official Same address or phone
• Neal Psychological Specialties

  • Clinical Psychologist
  • Crystal Lake, IL
  • NPI 1386978161
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053466060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HERITAGE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-477-4727",
            "fax_number": "815-356-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HERITAGE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-477-4727",
            "fax_number": "815-356-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "DOUGLAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Nationwide Wound Care LLC
• Nature's Balance Acupuncture
• Neal and Associates PC (Crystal Lake Dental Associates)
• Neal Psychological Specialties
• Kathryn Marie Neal, OTR/L
• Peter Neal
• Phillip Charles Neal, D.D.S.
• Zachary Neal, LCPC
• Terrence J Neary, PHD

• Clinical Psychologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Psychologist in Illinois

• 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.

Verify at the official NPI Registry.