La Rae C Neal, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94023267 Issued in CA

Practice address

4201 W Avenue J9
Lancaster, CA 93536-6866

Phone

(661) 418-0413

Fax

(661) 418-0413

NPI assigned

Jul 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healing Thoughts Psychological Services Inc

  • Mental Health Counselor
  • Lancaster, CA
  • NPI 1245150846

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official
• Change Lanes Youth Support Services

  • Community/Behavioral Health Agency
  • Lancaster, CA
  • NPI 1407035918
  NPD (past)

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1124540497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 W AVENUE L STE 282",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364202",
            "telephone_number": "661-418-0413",
            "fax_number": "661-418-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W AVENUE J9",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935366866",
            "telephone_number": "661-418-0413",
            "fax_number": "661-418-0413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43845 10th St W Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344800",
            "country_code": "US",
            "telephone_number": "661-948-2555",
            "fax_number": "661-878-9130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "LA RAE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "167373V",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94023267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Navarro
• Jennifer Rizk Nawaz
• Miriam Nazmy, MD
• Nozipho Ncube
• Ashley Sarah Neal, LMFT
• Michell Neangoda
• Yulia Negom, D.D.S.
• Neil R Sangani DDS Inc
• Neil Sangani Dental PC
• Paulette T Neill

• Clinical Psychologist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.