Individual provider Active NPI

Andrea Christine Neal, PHD

  • Cognitive & Behavioral Psychologist
  • Seattle, WA
National Provider Identifier
1205046158
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PY3110 Issued in WA
Practice address
509 Olive Way Ste 1162
Seattle, WA 98101-1793
Phone
(206) 678-6976
Fax
(206) 479-0681
NPI assigned
May 22, 2007
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PY3110 WA Primary

Addresses

Primary practice location

509 Olive Way Ste 1162
Seattle, WA 98101-1793

Mailing address

509 Olive Way Ste 1162
Seattle, WA 98101-1793
Phone (206) 678-6976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY3110WAMDCognitive & Behavioral Psychologist
2229WAMDInterpreter

Practice roles

OrganizationSpecialtyStatusNew patients
Evidence Based Treatment Centers of Seattle, PLLC Cognitive & Behavioral Past Accepting new patients
Evidence Based Treatment Centers of Seattle Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1205046158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1162",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011793",
            "telephone_number": "206-678-6976",
            "fax_number": "206-479-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1162",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011793",
            "telephone_number": "206-678-6976",
            "fax_number": "206-479-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ANDREA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "WA",
            "license": "PY3110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.