Chinetta Neal, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LCCP0524011221 Issued in FL

Practice address

3116 Yellowstone Cir
Fort Pierce, FL 34945-5705

Phone

(772) 708-6270

NPI assigned

Jul 7, 2020

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1336767243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9688",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349859688",
            "telephone_number": "772-708-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 YELLOWSTONE CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349455705",
            "telephone_number": "772-708-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "CHINETTA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "LCCP0524011221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valentine Nduku, DO
• Jenifer Lynne Neiman, PHARM D
• Mildred Emily Nelson, CNM
• Kathy Eileen Nesmith, ATC, LAT
• Justin Nessel
• New Day Counseling & Wellness, LLC

• Psychologist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.