Kathryn Neely, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

101 South Graham Avenue
Carbondale, IL 62901-3001

Phone

(618) 457-2700

Fax

(618) 457-2700

NPI assigned

Jan 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730168543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SOUTH GRAHAM AVENUE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013001",
            "telephone_number": "618-457-2700",
            "fax_number": "618-457-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SOUTH GRAHAM AVENUE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013001",
            "telephone_number": "618-457-2700",
            "fax_number": "618-457-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "KATHRYN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7221104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03932041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "045501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "402463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica L Nagele, NP
• Kristen Nagreski
• Kyaw T Naing, M.D., PH.D.
• Ryan Nankervis
• Lisa A Nation, FNP
• Kevin Gregory Neill, M.D., M.P.H.
• Hannah Nelson, MSW, LSW
• Kasey C Nelson, D.O.
• Shannon Casey Nelson, LCSW
• Kayci Neuhaus, PT

• Psychologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.