Neelima Gutti Duncan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

621108 Issued in MS

Practice address

402B Legacy Park
Ridgeland, MS 39157-4315

Phone

(769) 233-7154

NPI assigned

Jan 24, 2012

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Blue Sky Behavior Therapy

  • Behavior Analyst
  • Ridgeland, MS
  • NPI 1609418896
  NPD Authorized official
• Blue Sky Pediatric Psychology, LLC

  • Psychologist
  • Ridgeland, MS
  • NPI 1952183519
  NPD Authorized official
• Will's Way, LLC

  • School Psychologist
  • Hattiesburg, MS
  • NPI 1063795870
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1942571864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402B LEGACY PARK STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574315",
            "telephone_number": "769-233-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402B LEGACY PARK",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574315",
            "telephone_number": "769-233-7154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Simpson Dr",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MS",
            "postal_code": "389673009",
            "country_code": "US",
            "telephone_number": "769-233-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "NEELIMA",
        "middle_name": "GUTTI",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "621108",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "1 -11-9207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Jackson LLC (Performance Rehab)
• Drayer Physical Therapy Jackson LLC (Beyond Therapy For Kids)
• Lana Pepper Drewrey, OT
• DTG II PLLC (BeyondMD)
• Jennifer Longmire Duncan, PHARMD, BCGP
• Markevia Amiya Dunn
• Renee Okja Dyess, M.D.
• Stefanie Eason, PT
• Aulora Monay Edwards
• David Lee Edwards, LPTA

• Psychologist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.