Stephanie Anne Neill, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00001569 Issued in WA

Practice address

13901 NE 175TH St
Suite C
Woodinville, WA 98072-8548

Phone

(206) 810-5745

Fax

(425) 486-7165

NPI assigned

Oct 5, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 1, 2017 through Aug 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689760548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 NE 175TH ST",
            "address_2": "SUITE C",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728548",
            "telephone_number": "206-810-5745",
            "fax_number": "425-486-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 NE 175TH ST",
            "address_2": "SUITE C",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728548",
            "telephone_number": "206-810-5745",
            "fax_number": "425-486-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001569",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00001569",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "NE4750",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Florence Nason
• Thomas Murray Natale, D.D.S.
• Eleonora Naydis, N.D., L.AC.
• Linda K Nehser, RPH
• Janet Elizabeth Neice
• Dianne Neilson, DIANNE NEILSON, RN
• Brittney Williams Nelson
• Chad Michael Nelson, DC
• Reid Veryl Nelson, DC
• Deborah Nessim, LMHC

• Psychologist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.