Organization Active NPI

Heather Neeley MD PA

  • Psychiatry Physician
  • Tarpon Springs, FL
National Provider Identifier
1851637284
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HEATHER NEELEY MD PA
Practice address
905 E Martin Luther King Jr Dr
Suite 430
Tarpon Springs, FL 34689-4864
Phone
(727) 446-8866
Fax
(727) 446-2277
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Heather Neeley
Title
M.D.
Phone
(727) 446-8866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X

Addresses

Primary practice location

905 E Martin Luther King Jr Dr
Suite 430
Tarpon Springs, FL 34689-4864

Mailing address

905 E Martin Luther King Jr Dr
Suite 430
Tarpon Springs, FL 34689-4864
Phone (727) 446-8866

National Provider Directory

National Provider Directory

Locations

1802 N Belcher Rd
Ste 110
Clearwater, FL 33765
Phone (727) 201-2778

905 E Martin Luther King Jr Dr
Ste 430
Tarpon Springs, FL 34689
Phone (727) 446-8866

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1851637284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E MARTIN LUTHER KING JR DR",
            "address_2": "SUITE 430",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894864",
            "telephone_number": "727-446-8866",
            "fax_number": "727-446-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E MARTIN LUTHER KING JR DR",
            "address_2": "SUITE 430",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894864",
            "telephone_number": "727-446-8866",
            "fax_number": "727-446-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER NEELEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "727-446-8866",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.