Active NPI
Tiffany J Neal, PHD, HSPP
- Health Psychologist
- Bloomington, IN
National Provider Identifier
1174404917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- License
- 20043898B
- Practice address
- 2805 E 10TH St Ste 170
Bloomington, IN 47408-2619 - Phone
- (812) 856-1602
- Fax
- (812) 856-1601
- NPI assigned
- Sep 9, 2025
- Last updated
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20043898A | IN | |
| School Psychologist | 103TS0200X | 000046473 | IN | |
| Health Psychologist | 103TH0004X | 20043898B | IN | Primary |
Addresses
Primary practice location
2805 E 10TH St Ste 170
Bloomington, IN 47408-2619
Mailing address
2805 E 10TH St Ste 170
Bloomington, IN 47408-2619
Phone (812) 856-1602
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043898A | IN | MD | Psychologist |
| 20043898B | IN | MD | Health Psychologist |
| 000046473 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1174404917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 E 10TH ST STE 170",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474082619",
"telephone_number": "812-856-1602",
"fax_number": "812-856-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 E 10TH ST STE 170",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474082619",
"telephone_number": "812-856-1602",
"fax_number": "812-856-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "TIFFANY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD, HSPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20043898A",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "000046473",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "IN",
"license": "20043898B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.