DR. KENNETH NEAL PSYD
NPI 1053596742
Psychologist - Clinical in Ooltewah, TN

Q: What is Kenneth Neal's NPI number?

The NPI number for Kenneth Neal is 1053596742. It was assigned to this individual provider in the NPPES registry on January 1, 2008.

Q: What is Kenneth Neal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Neal was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 01, 2008PECOS Enrolled

8321 TROUBADOUR WAY, OOLTEWAH, TN 37363(706) 455-5725(706) 632-3585 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2025, Feb 19, 2025, Dec 16, 2015 (3 updates tracked since 2015).

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About Dr. Kenneth Neal Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH NEAL PSYD (NPI 1053596742) is an individual clinical provider in Ooltewah, Tennessee, licensed in Tennessee (4010) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053596742

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KENNETH NEALCredential: PSYD

Location Address8321 TROUBADOUR WAYOoltewah, TN 37363-7026

Mailing Address8321 Troubadour WayOoltewah, TN 37363-7026 · (706) 455-5725

Phone(706) 455-5725

Fax(706) 632-3585

Sole ProprietorNo

Enumeration DateJanuary 1, 2008

Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1053596742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TN · 4010

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

8321 TROUBADOUR WAY, Ooltewah, TN 37363

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Neal Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kenneth Neal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ipc Pac Healthcare Services Of Tennessee PC

190 mi

Internal Medicine

1 MEDICAL PARK BLVD
Bristol, TN 37620

Reassigned Medicare billing, Tennessee enrollment
230 clinicians in this Medicare group

NPI 1104277656 (423) 844-1121

Bh Services Southeast 1 PC

237 mi

Nurse Practitioner

2565 N WASHINGTON AVE
Brownsville, TN 38012

Reassigned Medicare billing, Tennessee enrollment
129 clinicians in this Medicare group

NPI 1164251526 (731) 772-4199

Cs Pacs 3 Southeast, LLC

263 mi

Hospitalist

1600 BLAND ST
Bluefield, WV 24701

Reassigned Medicare billing, Tennessee enrollment
227 clinicians in this Medicare group

NPI 1154104958 (304) 327-2485

Nv Pacs 2 LLC

1,697 mi

Hospitalist

10550 PARK RUN DR
Las Vegas, NV 89144

Reassigned Medicare billing, Tennessee enrollment
253 clinicians in this Medicare group

NPI 1427534809 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37363 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Neal's NPI number?

The NPI number for Kenneth Neal is 1053596742. It was assigned to this individual provider in the NPPES registry on January 1, 2008.

Where is Kenneth Neal located?

Kenneth Neal practices at 8321 Troubadour Way, Ooltewah, TN 37363. The listed phone number is (706) 455-5725.

What is Kenneth Neal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kenneth Neal enrolled in Medicare?

Yes. Kenneth Neal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Neal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Neal reassigns Medicare benefits to 4 organizations: Ipc Pac Healthcare Services Of Tennessee PC (Bristol, TN), Bh Services Southeast 1 PC (Brownsville, TN), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and Nv Pacs 2 LLC (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Neal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Neal accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Kenneth Neal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Neal was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.