Individual provider Active NPI

Sara Ann Neal, PSYD

  • Psychologist
  • Springfield, MO
National Provider Identifier
1962540211
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2009030821 Issued in MO
Practice address
1965 S Fremont Ave Ste 310
Springfield, MO 65804-2295
Phone
(417) 820-3707
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2009030821 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave Ste 310
Springfield, MO 65804-2295

Mailing address

1965 S Fremont Ave Ste 310
Springfield, MO 65804-2295
Phone (417) 820-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20101022000703 MO Practitioner - Clinical Psychologist 2062605074 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Memorial Healthcare CurrentSince Aug 2, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 13, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 16, 2018 Accepting new patients
Citizens Memorial Healthcare CurrentSince Aug 2, 2023 Accepting new patients
Mercy Clinic Springfield Communities Psychologist CurrentSince Jul 16, 2018 Accepting new patients
New Beginnings Behavioral Health Past Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1965 S Fremont Ave
Ste 310
Springfield, MO 65804
Phone (417) 820-3128

1312 E Lark St
Springfield, MO 65804
Phone (417) 820-3707

1312 E Lark St
#L
Springfield, MO 65804
Phone (417) 820-3707

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

502 S Miller Rd
Willard, MO 65781
Phone (417) 761-6655

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1962540211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 310",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042295",
            "telephone_number": "417-820-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE STE 310",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042295",
            "telephone_number": "417-820-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2009030821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.