Active NPI
David Neale-Lorello, PH. D.
- Psychologist
- Baltimore, MD
National Provider Identifier
1659789014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 05490
- Practice address
- 1111 N Charles St
Baltimore, MD 21201-5505 - Phone
- (410) 837-2050
- NPI assigned
- Jul 30, 2014
- Sex
- Male
- 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 | 05490 | MD | Primary |
Addresses
Primary practice location
1111 N Charles St
Baltimore, MD 21201-5505
Mailing address
1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050
Other names 1
- David G. Neale Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 16, 2019 through Sep 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05490 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1659789014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015505",
"telephone_number": "410-837-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015505",
"telephone_number": "410-837-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEALE-LORELLO",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-30",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "05490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "NEALE",
"middle_name": "G.",
"suffix": "JR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.