Individual provider Active NPI

Brittany Shanese McNeal, ED.S.

  • School Psychologist
  • Goose Creek, SC
National Provider Identifier
1942949409
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
72173 Issued in TX
Practice address
220 Chaste Tree Dr
Goose Creek, SC 29445-7375
Phone
(214) 709-2049
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 294131 SC
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X 530413D WA
School Psychologist 103TS0200X 72173 TX Primary

Addresses

Primary practice location

220 Chaste Tree Dr
Goose Creek, SC 29445-7375

Mailing address

220 Chaste Tree Dr
Goose Creek, SC 29445-7375
Phone (214) 709-2049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
72173TXMDProfessional Counselor
294131SCMDSchool Psychologist
530413DWAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1942949409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHASTE TREE DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457375",
            "telephone_number": "214-709-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHASTE TREE DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457375",
            "telephone_number": "214-709-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "BRITTANY",
        "middle_name": "SHANESE",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "294131",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "530413D",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "72173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.