Mr. Neil A Jepson, PHD
Psychologist, Clinical in Bloomington, Illinois
1689687709- Practice location
- 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112
- Phone
- 309-663-6461
- Fax
- —
- Last updated
- April 19, 2023
Neil Allen Jepson is a Psychologist, Clinical based in Bloomington, IL. Neil Allen Jepson practices in Bloomington, IL and has the professional credentials of PHD. The NPI Number for Neil Allen Jepson is 1689687709 and holds a License No. 047000715 (VT). The current practice location address for Neil Allen Jepson is 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 and can be reached out via phone at 309-663-6461.
Provider Profile Details
- NPI Number
- 1689687709
- Provider Name
- Neil Allen Jepson
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112
- Phone Number
- 309-663-6461
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 14, 2006
- Last Update Date
- April 19, 2023
- Certification Date
- April 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1111 Trinity Ln Ste 111
Bloomington, IL 61704-8112 - City
- Bloomington
- State
- Illinois
- Zip
- 61704-8112
- Phone Number
- 309-663-6461
Provider Business Mailing Address Details
- Address
- 611 W. Park St.
Fapc
Urbana, IL 61801 - City
- Urbana
- State
- IL
- Zip
- 61801
License Information
- License Number (1)
- 047000715
- License State (1)
- VT
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 0470000715
- License State (2)
- VT
- Taxonomy (2)
- Psychologist, Health Service · 103TH0100X
- License Number (3)
- 0470000715
- License State (3)
- VT
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Neil A Jepson, PHD?
The NPI number of Mr. Neil A Jepson, PHD is 1689687709. It was assigned on August 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Neil A Jepson, PHD?
Mr. Neil A Jepson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 047000715.
Where does Mr. Neil A Jepson, PHD practice?
The practice location is 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112. The office can be reached at 309-663-6461 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689687709 directly on the NPPES registry website.