Katherine Jeannette Neely, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

024696 Issued in NY

Practice address

69 Old Spring LN
Williamsville, NY 14221-2107

Phone

(716) 308-5095

NPI assigned

Feb 1, 2022

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1114670957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 OLD SPRING LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212107",
            "telephone_number": "716-308-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 OLD SPRING LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212107",
            "telephone_number": "716-308-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "KATHERINE",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "024696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naughty Nits LLC (Naughty Nits - Lice Clinics of America)
• Michael R Nazareth, M.D./PH.D.
• Claudia Helen Nealand-Moslow
• Brianna Neeley
• Michael Christopher Neelin, PTA
• Kristen Neil
• Nicole Neilson, RN
• Joseph Bruce Neiman, M.D.
• David Nelson
• Kimberly Ann Nelson, M.A., CCC-SLP

• Counseling Psychologist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.