Organization Active NPI

Dalton Psychology Associates, LLC

  • Clinical Psychologist
  • Dalton, GA
National Provider Identifier
1275807976
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003536 Issued in GA
Legal business name
DALTON PSYCHOLOGY ASSOCIATES, LLC
Practice address
1575 Chattanooga Ave
Suite 3
Dalton, GA 30720-2671
Phone
(423) 421-6028
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dr. Kenneth D Neal, PSY.D.
Title
President
Phone
(423) 421-6028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY003536 GA Primary

Addresses

Primary practice location

1575 Chattanooga Ave
Suite 3
Dalton, GA 30720-2671

Mailing address

1807 Canterbury NW
Dalton, GA 30720-7035
Phone (706) 229-9080

National Provider Directory

National Provider Directory

Locations

1575 Chattanooga Ave
Ste 3
Dalton, GA 30720
Phone (706) 226-9495

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1275807976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 CANTERBURY NW",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307207035",
            "telephone_number": "706-229-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CHATTANOOGA AVE",
            "address_2": "SUITE 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202671",
            "telephone_number": "423-421-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON PSYCHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-421-6028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.