Individual provider Active NPI

Todd William Neu, PSYCHOLOGIST PHD

  • Psychologist
  • Peterson Afb, CO
National Provider Identifier
1467424507
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY2889 Issued in CO
Practice address
559 Vincent St
Attn: 21 Mdos/Sgoh- Mental Health
Peterson Afb, CO 80914-1540
Phone
(719) 556-7804
Fax
(719) 556-9677
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY2889 CO Primary

Addresses

Primary practice location

559 Vincent St
Attn: 21 Mdos/Sgoh- Mental Health
Peterson Afb, CO 80914-1540

Mailing address

559 Vincent St
Attn: 21 Mdos/Sgoh- Mental Health
Peterson Afb, CO 80914-1540
Phone (719) 556-7804

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

State licenses

LicenseStateTypeSpecialty
PSY2889COMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1467424507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "ATTN: 21 MDOS/SGOH- MENTAL HEALTH",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-7804",
            "fax_number": "719-556-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "ATTN: 21 MDOS/SGOH- MENTAL HEALTH",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-7804",
            "fax_number": "719-556-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEU",
        "first_name": "TODD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peterson Afb, CO

Sources for this page

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