Victoria Alexis McNeil-Young, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

12856 Kelsey Island Dr
Jacksonville, FL 32224-7562

Phone

(850) 591-8243

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1902570294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12856 KELSEY ISLAND DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247562",
            "telephone_number": "850-591-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12856 KELSEY ISLAND DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247562",
            "telephone_number": "850-591-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL-YOUNG",
        "first_name": "VICTORIA",
        "middle_name": "ALEXIS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vmcneilyphd@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12856 Kelsey Island Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322247562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katlyn McNeal
• Vera Lynell McNeal, L.P.N.
• Meloni P McNealy
• Michelle Lynn McNealy, RMHCI
• Karen Snipes McNeely, ARNP
• Michael B McNeil, D.C.
• Casey Michael McNeill, PTA
• Samantha Lynn McNeill, CRNA
• Wyatt McNeill, MD
• Jennifer Kane McPadden, LMFT

• Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.