Provider Demographics
NPI:1588319610
Name:MACNEIL, JOHN PHILIP (LMHC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PHILIP
Last Name:MACNEIL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 E 6TH ST APT C1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-8723
Mailing Address - Country:US
Mailing Address - Phone:617-633-0037
Mailing Address - Fax:
Practice Address - Street 1:312 E 6TH ST APT C1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8723
Practice Address - Country:US
Practice Address - Phone:617-633-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP111163101YM0800X
NY014277101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health