Neal Psychological Specialties

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004297 Issued in IL

Legal business name

NEAL PSYCHOLOGICAL SPECIALTIES

Practice address

185 Heritage Dr
Crystal Lake, IL 60014-8068

Phone

(815) 477-4727

NPI assigned

Sep 25, 2009

Organization subpart

No

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

Authorized official

Name

Douglas N Neal, PSY.D

Title

Psychologist/Owner

Phone

(814) 477-4727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1386978161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HERITAGE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HERITAGE DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148068",
            "telephone_number": "815-477-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL PSYCHOLOGICAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "814-477-4727",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranjana Nath, MD
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• Neal and Associates PC
• Douglas N Neal
• Kathryn Marie Neal, OTR/L
• Peter Neal
• Phillip Charles Neal, D.D.S.
• Zachary Neal, LCPC

• Clinical Psychologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.