Neville Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00001809 Issued in WA

Legal business name

NEVILLE PSYCHOLOGICAL SERVICES

Practice address

18500 156TH Ave NE Ste 202
Woodinville, WA 98072-4459

Phone

(206) 214-7482

Fax

(425) 481-2157

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Brian Neville, PH.D.

Title

President

Phone

(206) 214-7482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1306177480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18500 156TH AVE NE STE 202",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724459",
            "telephone_number": "206-214-7482",
            "fax_number": "425-481-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 156TH AVE NE STE 202",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724459",
            "telephone_number": "206-214-7482",
            "fax_number": "425-481-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVILLE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-214-7482",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Michael Nelson, DC
• Reid Veryl Nelson, DC
• Deborah Nessim, LMHC
• Neurevolution Medicine, LLC (Dr. Davis Batson, ND, LLC)
• Elizabeth Neuzil, M.D.
• Brian Neville, PH.D.
• Brigitte Nguyet-Thu Nguyen, MD
• Dalena Nguyen
• Karen K Nguyen, PHARM.D.
• Khanh Nguyen

• Clinical Psychologist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.