Active NPI
Taylor Neil, PH.D.
- Mental Health Counselor
- Worcester, MA
National Provider Identifier
1457977316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2 Norton St
Worcester, MA 01605-3311 - Phone
- (508) 852-6277
- NPI assigned
- Jun 17, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X |
Addresses
Primary practice location
2 Norton St
Worcester, MA 01605-3311
Mailing address
280 Lincoln St
Worcester, MA 01605-2106
Phone (508) 755-3033
Other practice location 1
280 Lincoln St
Worcester, MA 01605-2106
Phone (413) 429-5173
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1457977316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052106",
"telephone_number": "508-755-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 NORTON ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053311",
"telephone_number": "508-852-6277"
}
],
"practiceLocations": [
{
"address_1": "280 Lincoln St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052106",
"country_code": "US",
"telephone_number": "413-429-5173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEIL",
"first_name": "TAYLOR",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.