Neeley Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

NEELEY PSYCHOLOGICAL SERVICES, LLC

Practice address

1901 Main St
Washougal, WA 98671-4116

Phone

(360) 583-4900

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Neeley, PH.D.NPI 1699205963

Title

Owner - Licensed Psychologist

Phone

(503) 804-0553

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin John Neeley, PH.D.

  • Psychologist
  • Washougal, WA
  • NPI 1699205963
  NPD Authorized official
• Katherine Stubblefield

  • Clinical Psychologist
  • Coral Springs, FL
  • NPI 1225450091
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376252973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MAIN ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MAIN ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986714116",
            "telephone_number": "360-583-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELEY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER - LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-804-0553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soncea Rae Moore, L.M.P.
• Jennifer Diane Morales, M.A., LMHC
• Mount Pleasant School District
• Kristen Marie Moya, LMHC
• Nate Repta DMD PS
• Benjamin John Neeley, PH.D.
• Chris Neveux, CCC-SLP
• Corrine U Nightingale, CRC, NCC
• Jack Riley Olson
• Jeff Olson, L.AC., MACOM

• Psychologist in Washougal, WA
• Providers in Washougal, WA by specialty
• Psychologist in Washington

• 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.

Verify at the official NPI Registry.