Active NPI
Tara McNeal
- Clinical Psychologist
- Tallahassee, FL
National Provider Identifier
1205282274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 39555
- Practice address
- 1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433 - Phone
- (813) 841-0232
- NPI assigned
- May 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Clinical Psychologist | 103TC0700X | 39555 | TX | Primary |
Addresses
Primary practice location
1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433
Mailing address
1801 Miccosukee Commons Dr
Tallahassee, FL 32308-5433
Phone (813) 841-0232
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39555 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1205282274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 MICCOSUKEE COMMONS DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085433",
"telephone_number": "813-841-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 MICCOSUKEE COMMONS DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085433",
"telephone_number": "813-841-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "39555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.