Individual provider Active NPI

Dan E. McNeill, PHD

  • Clinical Psychologist
  • Lawrenceville, NJ
National Provider Identifier
1932157393
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI03496 Issued in NJ
Practice address
1203 Rustic CT
Lawrenceville, NJ 08648-2500
Phone
(609) 771-3790
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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 SI03496 NJ Primary

Addresses

Primary practice location

1203 Rustic CT
Lawrenceville, NJ 08648-2500

Mailing address

800 Denow Rd.
Ste C PMB 284
Pennington, NJ 08534-2041
Phone (609) 771-3790

Other identifiers 1

IdentifierTypeStateIssuer
1427101971OtherNPI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL drdmcneill Direct
CONNECT URL 1203 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050526000717 NJ Practitioner - Clinical Psychologist 4880636117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1203 Rustic CT
Lawrenceville, NJ 08648-2500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SI03496NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dan McNeill, PHD, LLC CurrentSince Apr 26, 2006 Accepting new patients
Dan McNeill, PHD, LLC Clinical CurrentSince Jan 1, 1990 Accepting new patients
RSM Psychology Center, LLC Clinical PastSince Dec 6, 1995 Accepting new patients
Pathology Associates of Delaware Valley, PC Past Accepting new patients

Locations

800 Denow Rd
Ste C
Pennington, NJ 08534
Phone (609) 902-4458

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1932157393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DENOW RD.",
            "address_2": "STE C PMB 284",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342041",
            "telephone_number": "609-771-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 RUSTIC CT",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482500",
            "telephone_number": "609-771-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "DAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI03496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427101971",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drdmcneill",
            "affiliation": "N",
            "endpointDescription": "Dan McNeill",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "1203 Rustic Ct",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1203",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1203 Rustic Ct",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.