Jillian Leigh Neill, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5316 Issued in NC

Practice address

2029 Williamsburg Manor CT
Winston Salem, NC 27103-5712

Phone

(919) 271-3067

NPI assigned

Feb 2, 2022

Last updated

Feb 2, 2022By the provider in NPPES

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

Other names 1

• Jillian Leigh Bartels Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1831842558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 WILLIAMSBURG MANOR CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035712",
            "telephone_number": "919-271-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 WILLIAMSBURG MANOR CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035712",
            "telephone_number": "919-271-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "JILLIAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "BARTELS",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Rosales Neff
• Neighborhood Empowering Wealth
• Neighborhood Empowering Wealth
• Granada Stephens Neil, MD
• Ransford Authurbury Neil II, MA, LPC
• Kara Neill, MA CCC SLP
• Heather D Nelkin, PHARMD, BCOP, CPP
• Sean Patrick Nelligan, L.C.S.W., A.C.S.W.,
• Anna Kathryn Nelsen
• Nelson & Nelson Pathways, LLC

• Clinical Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.