Neureval

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NEUREVAL

Practice address

20186 Front St NE
Poulsbo, WA 98370-7445

Phone

(360) 930-3354

Fax

(360) 930-3356

NPI assigned

Jul 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kurt David Nielsen, PSYD

Title

Clinical Pyschologist

Phone

(360) 930-3355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1679069496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700221",
            "telephone_number": "206-650-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20186 FRONT ST NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707445",
            "telephone_number": "360-930-3354",
            "fax_number": "360-930-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUREVAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-04",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL PYSCHOLOGIST",
        "authorized_official_telephone_number": "360-930-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann E Murphy, MD
• Lindsay Jean Murphy, CO 61279433
• Kerry Murray, LMT
• Mythos Counseling Services PLLC
• Maja Nelson
• Stephanie Newcomb, MS, CCC-SLP
• Patrick Newman, LMP
• NG Russell DDS PC (Finn Hill Dental)
• Thuy Nguyen
• Kurt David Nielsen, PSYD

• Clinical Psychologist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.