Individual provider Active NPI

James Neal, CNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1063116374
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2378142 Issued in MA
Practice address
2103 Valerian TRL
Round Rock, TX 78665-7880
Phone
(808) 769-0644
NPI assigned
Mar 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2378142 MA Primary

Addresses

Primary practice location

2103 Valerian TRL
Round Rock, TX 78665-7880

Mailing address

2103 Valerian TRL
Round Rock, TX 78665-7880
Phone (518) 302-1452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525000910 MA Practitioner - Nurse Practitioner 5092171520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lumin Health PGGroup PAC ID 3678950649, 13 clinicians

Practice addresses (Care Compare)

53 Langley Rd
Suite 250
Newton, MA 02459-1945
Phone (617) 863-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2378142MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lumin Health PG CurrentSince Jun 1, 2023 Accepting new patients

Locations

53 Langley Rd
Ste 250
Newton Center, MA 02459
Phone (617) 863-8810

10 Langley Rd
Ste 200
Newton Centre, MA 02459
Phone (617) 863-8810

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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1063116374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 VALERIAN TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786657880",
            "telephone_number": "518-302-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 VALERIAN TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786657880",
            "telephone_number": "808-769-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JAMES",
        "credential": "CNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2378142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.