Active NPI
Dale Edward McNiel, PH.D.
- Clinical Neuropsychologist
- San Francisco, CA
National Provider Identifier
1770858920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY8652
- Practice address
- 401 Parnassus Ave
San Francisco, CA 94143-2211 - Phone
- (415) 476-7379
- Fax
- (415) 476-7404
- NPI assigned
- Mar 20, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY8652 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY8652 | CA | |
| Forensic Psychologist | 103TF0200X | PSY8652 | CA |
Addresses
Primary practice location
401 Parnassus Ave
San Francisco, CA 94143-2211
Mailing address
401 Parnassus Ave
San Francisco, CA 94143-2211
Phone (415) 476-7379
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY8652 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1770858920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432211",
"telephone_number": "415-476-7379",
"fax_number": "415-476-7404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432211",
"telephone_number": "415-476-7379",
"fax_number": "415-476-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNIEL",
"first_name": "DALE",
"middle_name": "EDWARD",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY8652",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8652",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY8652",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.