Individual provider Active NPI

Lynnette Jane Neu, PHD, NCSP, HSPP

  • Psychologist
  • Evansville, IN
National Provider Identifier
1902640766
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20043832A Issued in IN
Practice address
3701 Bellemeade Ave
Evansville, IN 47714-0137
Phone
(812) 479-1411
NPI assigned
Jun 25, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20043832A IN Primary
School Psychologist 103TS0200X 2589645 IL

Addresses

Primary practice location

3701 Bellemeade Ave
Evansville, IN 47714-0137

Mailing address

3701 Bellemeade Ave
Evansville, IN 47714-0137

Other names 1

  • Lynnette Jane Whitsitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240710003499 IN Practitioner - Clinical Psychologist 9436694890 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20043832AINMDPsychologist
2589645ILMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Rehabilitation Center, Inc. CurrentSince Jul 2, 2024 Accepting new patients
Southwestern Behavioral Healthcare, Inc. CurrentSince Oct 13, 2024 Accepting new patients
Southwestern Behavioral Healthcare, Inc. CurrentSince Oct 13, 2024 Accepting new patients
Easter Seals Rehabilitation Center, Inc CurrentSince Jul 2, 2024 Accepting new patients

Locations

219 W Buena Vista Rd
Evansville, IN 47710
Phone (812) 424-2197

3701 Bellemeade Ave
Evansville, IN 47714
Phone (812) 479-1411

4001 John St
Evansville, IN 47714
Phone (812) 473-3144

410 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489

414 SE 4th St
Evansville, IN 47713
Phone (812) 423-4700

414 SE 4th St
Ste 101
Evansville, IN 47713
Phone (812) 424-4880

415 Mulberry St
Evansville, IN 47713
Phone (812) 436-4232

60 S Stockwell Rd
Evansville, IN 47714
Phone (812) 476-5437

320 S 5th Ave
Princeton, IN 47670
Phone (812) 385-5275

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1902640766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BELLEMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140137",
            "telephone_number": "812-479-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEU",
        "first_name": "LYNNETTE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP, HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043832A",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2589645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNETTE",
            "last_name": "WHITSITT",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.