Active NPI
Ann-Michelle Neal, ED.S
- School Psychologist
- Salt Lake City, UT
National Provider Identifier
1659106011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 17594746
- Practice address
- 603 E 1St Ave Apt 2
Salt Lake City, UT 84103-3403 - Phone
- (801) 735-9971
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 17594746 | IN | Primary |
| School Psychologist | 103TS0200X | 560187 | UT |
Addresses
Primary practice location
603 E 1St Ave Apt 2
Salt Lake City, UT 84103-3403
Mailing address
603 E 1St Ave Apt 2
Salt Lake City, UT 84103-3403
Phone (801) 735-9971
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17594746 | IN | MD | School Psychologist |
| 560187 | UT | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1659106011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 E 1ST AVE APT 2",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841033403",
"telephone_number": "801-735-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E 1ST AVE APT 2",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841033403",
"telephone_number": "801-735-9971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "ANN-MICHELLE",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "17594746",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "UT",
"license": "560187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.