Individual provider Active NPI

Rob Neils, PH.D.

  • Clinical Psychologist
  • Spokane Vly, WA
National Provider Identifier
1295922672
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
943 Issued in WA
Practice address
1005 Pines Rd N
Ste 250
Spokane Vly, WA 99206-4993
Phone
(509) 927-1194
Fax
(509) 927-8819
NPI assigned
Sep 28, 2007
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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 943 WA Primary

Addresses

Primary practice location

1005 Pines Rd N
Ste 250
Spokane Vly, WA 99206-4993

Mailing address

1005 Pines Rd N
Ste 250
Spokane Vly, WA 99206-4993
Phone (509) 927-1194

Other names 1

  • Dr. Robert G Neils Other name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
943WAMDClinical Psychologist

Organizations & group practices 1

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1295922672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PINES RD N",
            "address_2": "STE 250",
            "city": "SPOKANE VLY",
            "state": "WA",
            "postal_code": "992064993",
            "telephone_number": "509-927-1194",
            "fax_number": "509-927-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PINES RD N",
            "address_2": "STE 250",
            "city": "SPOKANE VLY",
            "state": "WA",
            "postal_code": "992064993",
            "telephone_number": "509-927-1194",
            "fax_number": "509-927-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILS",
        "first_name": "ROB",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "NEILS",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane Vly, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.