Active NPI
Jillian Lee McNeil, RN
- Psychiatric/Mental Health Nurse Practitioner
- Duxbury, MA
National Provider Identifier
1619450889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN2279603
- Practice address
- 95 Tremont St Ste 2
Duxbury, MA 02332-4738 - Phone
- (781) 803-7757
- NPI assigned
- Sep 12, 2018
- Reactivated
- Mar 21, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2279603 | MA | Primary |
Addresses
Primary practice location
95 Tremont St Ste 2
Duxbury, MA 02332-4738
Mailing address
4 Holiday LN
Sandwich, MA 02563-2588
Phone (508) 564-2239
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2279603 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Mentality Ventures PLLC | Past | 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.
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Duxbury, MA
- NPI 1780524900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1619450889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HOLIDAY LN",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025632588",
"telephone_number": "508-564-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 TREMONT ST STE 2",
"city": "DUXBURY",
"state": "MA",
"postal_code": "023324738",
"telephone_number": "781-803-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "JILLIAN",
"middle_name": "LEE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"deactivation_date": "2018-09-27",
"reactivation_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN2279603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.