Active NPI
Stephen Clay Neal Jr., PH.D.
- School Psychologist
- Avondale, AZ
National Provider Identifier
1083620561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 45 S 3Rd Ave
Avondale, AZ 85323-2264 - Phone
- (623) 772-5156
- NPI assigned
- Aug 1, 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 | AZ | Primary |
Addresses
Primary practice location
45 S 3Rd Ave
Avondale, AZ 85323-2264
Mailing address
7958 W Hazelwood St
Phoenix, AZ 85033-1861
Phone (623) 980-9330
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1083620561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7958 W HAZELWOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850331861",
"telephone_number": "623-980-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 S 3RD AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853232264",
"telephone_number": "623-772-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "STEPHEN",
"middle_name": "CLAY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.