Organization Active NPI

McNeil Psychiatric Services & Consulting, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1992566277
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MCNEIL PSYCHIATRIC SERVICES & CONSULTING, LLC
Practice address
1 Eves Dr Ste 111
Marlton, NJ 08053-3125
Phone
(267) 903-6779
Fax
(267) 933-4189
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Mia McNeil, DNPNPI 1144779067
Title
Owner
Phone
(267) 903-6779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1 Eves Dr Ste 111
Marlton, NJ 08053-3125

Mailing address

1 Eves Dr Ste 111
Marlton, NJ 08053-3125
Phone (267) 903-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240514002447 NJ Part B Supplier - Clinic/Group Practice 8022459627 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ
O20251110001043 FL Part B Supplier - Clinic/Group Practice 8022459627 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

100 E Pine St
Ste 110
Orlando, FL 32801
Phone (267) 903-6779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1992566277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EVES DR STE 111",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533125",
            "telephone_number": "267-903-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EVES DR STE 111",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533125",
            "telephone_number": "267-903-6779",
            "fax_number": "267-933-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNEIL PSYCHIATRIC SERVICES & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-903-6779",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.