Individual provider Active NPI

Kay Andrews McNeill, PH.D

  • Clinical Psychologist
  • Charleston, SC
National Provider Identifier
1861565053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
505 Issued in SC
Practice address
1180 Sam Rittenberg Blvd Ste 251
Charleston, SC 29407-3388
Phone
(843) 766-8620
Fax
(843) 766-3351
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 505 SC Primary

Addresses

Primary practice location

1180 Sam Rittenberg Blvd Ste 251
Charleston, SC 29407-3388

Mailing address

1180 Sam Rittenberg Blvd Ste 251
Charleston, SC 29407-3388
Phone (843) 766-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000144 SC Practitioner - Clinical Psychologist 4183670458 Practice locations: Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

114 Ashley Ave
Charleston, SC 29401-1249
Phone (843) 805-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
505SCMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861565053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SAM RITTENBERG BLVD STE 251",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073388",
            "telephone_number": "843-766-8620",
            "fax_number": "843-766-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SAM RITTENBERG BLVD STE 251",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073388",
            "telephone_number": "843-766-8620",
            "fax_number": "843-766-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "KAY",
        "middle_name": "ANDREWS",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.