Active NPI
Neal A Kline, M.D.
- Psychiatry Physician
- Santa Cruz, CA
National Provider Identifier
1356477939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 37304
- Practice address
- 1400 Emeline Ave
Santa Cruz, CA 95060-1976 - Phone
- (831) 454-4971
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 37304 | MA | Primary |
| Psychiatry Physician | 2084P0800X | G19015 | CA |
Addresses
Primary practice location
1400 Emeline Ave
Santa Cruz, CA 95060-1976
Mailing address
1400 Emeline Ave
Santa Cruz, CA 95060-1976
Phone (831) 454-4971
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G19015 | Other | CA | PROFESSIONAL MEDICAL LICENSE# |
| ZZZ91891Z | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| FHC70044F | Other | CA | SANTA CRUZ COUNTY - CA - MEDI-CAL GROUP# |
| ZZZ91892Z | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| ZZZ92069Z | Other | CA | COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN# |
| FHC70042F | Other | CA | SANTA CRUZ COUNTY - CA - MEDI-CAL GROUP# |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37304 | MA | MD | Psychiatry Physician |
| 19015 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Cruz | Past | Accepting new patients | |
| Puentes Al Sur | Past | Accepting new patients | |
| County of Santa Cruz | Past | Accepting new patients | |
| South County Mental Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinic/Center
- Santa Cruz, CA
- NPI 1659315430
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1770709149
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1801930920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1356477939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EMELINE AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950601976",
"telephone_number": "831-454-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "NEAL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "37304",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G19015",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL MEDICAL LICENSE#",
"identifier": "G19015",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
"identifier": "ZZZ91891Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY - CA - MEDI-CAL GROUP#",
"identifier": "FHC70044F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
"identifier": "ZZZ91892Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#",
"identifier": "ZZZ92069Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY - CA - MEDI-CAL GROUP#",
"identifier": "FHC70042F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.