Kimm Shelley McNeil, CASAS 2

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5890 Issued in NY

Practice address

3 Corporate Dr # 3H
Peekskill, NY 10566-1846

Phone

(914) 257-3500

NPI assigned

Mar 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1811798671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HEMLOCK CIR",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105664903",
            "telephone_number": "914-589-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORPORATE DR # 3H",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105661846",
            "telephone_number": "914-257-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2875 Route 35",
            "address_purpose": "LOCATION",
            "city": "Katonah",
            "state": "NY",
            "postal_code": "105363181",
            "country_code": "US",
            "telephone_number": "914-666-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "KIMM",
        "middle_name": "SHELLEY",
        "credential": "CASAS 2",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "5890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Aloysius McGurty Jr., MD
• Nathan McKee, LCSW
• Ashley Chantel McKenzie
• Aminata McKnight, NP
• Erika McNair, NP
• Ariana Dawn Medina, LMSW
• Michelle Irene Mele, PHARM.D
• Gina Menendez, LCSW
• Digna E. Merchan, MSW
• Melissa Merelas, LCSW

• Addiction (Substance Use Disorder) Counselor in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.