Provider Demographics
NPI:1124236120
Name:NEALE, MILES IAN (PSYD, LMHC)
Entity type:Individual
Prefix:DR
First Name:MILES
Middle Name:IAN
Last Name:NEALE
Suffix:
Gender:M
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNION SQ W STE 1328
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3252
Mailing Address - Country:US
Mailing Address - Phone:212-989-2990
Mailing Address - Fax:212-260-3653
Practice Address - Street 1:41 UNION SQ W STE 1328
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3252
Practice Address - Country:US
Practice Address - Phone:917-680-5665
Practice Address - Fax:212-260-3653
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002497-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health