Individual provider Active NPI

Kathryn Louise Neel, PH.D.

  • Clinical Psychologist
  • Columbia, MD
National Provider Identifier
1902922339
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3664 Issued in MD
Practice address
10796 Hickory Ridge Rd
Columbia, MD 21044-3646
Phone
(410) 730-8877
Fax
(410) 997-0396
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3664 MD Primary
Clinical Child & Adolescent Psychologist 103TC2200X 3664 MD
Psychologist 103T00000X 3664 MD
Group Psychotherapy Psychologist 103TP2701X 3664 MD

Addresses

Primary practice location

10796 Hickory Ridge Rd
Columbia, MD 21044-3646

Mailing address

1415 Highland Dr
Silver Spring, MD 20910-1525
Phone (410) 730-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050725000130 MD Practitioner - Clinical Psychologist 9234166059 Practice locations: Columbia, MD
I20250116000157 CO Practitioner - Clinical Psychologist 9234166059 Practice locations: Boulder, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10808 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 730-8877

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3664MDMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Kennedy Psychologist PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1902922339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHLAND DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101525",
            "telephone_number": "410-730-8877",
            "fax_number": "410-730-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10796 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443646",
            "telephone_number": "410-730-8877",
            "fax_number": "410-997-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEL",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "3664",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "3664",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3664",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MD",
            "license": "3664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.