Ann Tamara Neulicht, PHD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

1089 Issued in NC

Practice address

7413 Six Forks Rd
#174
Raleigh, NC 27615-6164

Phone

(919) 870-6048

Fax

(919) 870-6048

NPI assigned

May 29, 2007

Last updated

Jun 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1235330317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 SIX FORKS RD",
            "address_2": "#174",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156164",
            "telephone_number": "919-870-6048",
            "fax_number": "919-870-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 SIX FORKS RD",
            "address_2": "#174",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156164",
            "telephone_number": "919-870-6048",
            "fax_number": "919-870-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEULICHT",
        "first_name": "ANN",
        "middle_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "1089",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NC",
            "license": "1089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Neshat
• Sydney Elizabeth Ness, PA-C
• Anthony Nettey-Marbell, D.D.S
• Richard Stephen Neubauer III, RD, LDN
• Loren Neuhoff, M.ED. CCC-SLP
• Bridget Anne Neuman-Schiszler, D.D.S.
• Kaitlyn Neuman
• Aastha Neupane, RN
• Neuro Watch LLC
• Neurobloom Physical Therapy & Wellness LLC

• Legal Medicine in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Legal Medicine in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.