Individual provider Active NPI

Douglas McNeal Jr., MHA III

  • Adult Companion
  • Sacramento, CA
National Provider Identifier
1619094521
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
4600 47TH Ave
Suite 111
Sacramento, CA 95824-3923
Phone
(916) 393-1222
NPI assigned
Mar 24, 2007
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

4600 47TH Ave
Suite 111
Sacramento, CA 95824-3923

Mailing address

4600 47TH Ave
Suite 111
Sacramento, CA 95824-3923
Phone (916) 393-1222

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

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1619094521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 47TH AVE",
            "address_2": "SUITE 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243923",
            "telephone_number": "916-393-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 47TH AVE",
            "address_2": "SUITE 111",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958243923",
            "telephone_number": "916-393-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MHA III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.