Individual provider Active NPI

Joseph Kurt Neumann, PH.D.

  • Clinical Psychologist
  • Johnson City, TN
National Provider Identifier
1194876490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2015 Issued in TN
Practice address
401 E Main St
Suite 4
Johnson City, TN 37601-4877
Phone
(423) 283-4958
Fax
(423) 283-7135
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2015 TN Primary

Addresses

Primary practice location

401 E Main St
Suite 4
Johnson City, TN 37601-4877

Mailing address

400 Pine Hill Rd
Elizabethton, TN 37643-4039
Phone (423) 543-4640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702001195 TN Practitioner - Clinical Psychologist 9133104433 Reassigns benefits to 1 organization
Practice locations: Johnson City, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Missouri, Columbia School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert E Roth PSYDGroup PAC ID 4880670538, 4 clinicians

Practice addresses (Care Compare)

2333 Knob Creek Rd
Suite 11
Johnson City, TN 37604-2007
Phone (423) 952-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E Roth PSYD Clinical CurrentSince Jul 1, 2009 Accepting new patients
Neurobehavioral Associates PastSince Mar 17, 1999 Accepting new patients

Locations

2333 Knob Creek Rd
Ste 11
Johnson City, TN 37604
Phone (423) 952-0050

1100 N State of Franklin Rd
#3901
Johnson City, TN 37604
Phone (423) 952-0500

Organizations & group practices 2

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194876490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PINE HILL RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376434039",
            "telephone_number": "423-543-4640",
            "fax_number": "423-283-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "address_2": "SUITE 4",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014877",
            "telephone_number": "423-283-4958",
            "fax_number": "423-283-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "JOSEPH",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.