Neil Edwin Duchac II, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E3591 Issued in OH

Practice address

269 Creekside Dr
Saint Marys, GA 31558-4483

Phone

(419) 303-8386

NPI assigned

Oct 8, 2012

Sex

Male

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1306198809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 CREEKSIDE DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584483",
            "telephone_number": "419-303-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 CREEKSIDE DR",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584483",
            "telephone_number": "419-303-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHAC",
        "first_name": "NEIL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E3591",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Diaz, MD
• Winston E Dill, JDPHDPSYDDNP
• Donald Scott Dills, LDO
• Daniel A. Dino, M.D.
• Dr. Victoria Warner-White
• Marcelle Dunning
• Gary M Dutka, PA-C
• Lesly Kay Duvall, FNP
• Dva Healthcare Renal Care Inc
• Jessica Dyals, MSN, APRN, FNP-C

• All providers in Saint Marys, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.