NPIMap

Individual provider Active NPI

David James Neal, SUD COUNSELOR REGIST

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1487253399
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11115 Issued in CA
Practice address
5855 Streamview Dr
San Diego, CA 92105-3910
Phone
(619) 287-5460
NPI assigned
Oct 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11115 CA Primary

Addresses

Primary practice location

5855 Streamview Dr
San Diego, CA 92105-3910

Mailing address

12345 Lakeshore Dr Apt 26
Lakeside, CA 92040-3047
Phone (619) 343-8825

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL encryptedemail Other
Other URL www.heartlandhouse.org Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Twelfth Step House of San Diego, Inc. PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1487253399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 LAKESHORE DR APT 26",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920403047",
            "telephone_number": "619-343-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 STREAMVIEW DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053910",
            "telephone_number": "619-287-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "SUD COUNSELOR REGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "11115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "encryptedemail",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "signed release of information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "confidential release of information between providers",
            "address_1": "5855 Streamview Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921053910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.heartlandhouse.org",
            "affiliation": "N",
            "endpointDescription": "Confidential communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Consent for release of information",
            "address_1": "5855 Streamview Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921053910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.