Active NPI
Paulita H Neal, PHD
- Psychologist
- Ventura, CA
National Provider Identifier
1578613550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY12115
- Practice address
- 200 S Wells Rd
Suite 200 Clinicas del Camino Real Inc
Ventura, CA 93004 - Phone
- (805) 659-1740
- Fax
- (805) 659-9959
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12115 | CA | Primary |
Addresses
Primary practice location
200 S Wells Rd
Suite 200 Clinicas del Camino Real Inc
Ventura, CA 93004
Mailing address
2936 Bayshore Av
Ventura, CA 93001-4126
Phone (805) 650-7736
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578613550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 BAYSHORE AV",
"city": "VENTURA",
"state": "CA",
"postal_code": "930014126",
"telephone_number": "805-650-7736",
"fax_number": "805-650-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WELLS RD",
"address_2": "SUITE 200 CLINICAS DEL CAMINO REAL INC",
"city": "VENTURA",
"state": "CA",
"postal_code": "93004",
"telephone_number": "805-659-1740",
"fax_number": "805-659-9959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "PAULITA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY12115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.