Provider Demographics
NPI:1053403212
Name:NEALER, JANET BRAUN (PHD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:BRAUN
Last Name:NEALER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-6637
Mailing Address - Country:US
Mailing Address - Phone:978-462-1888
Mailing Address - Fax:978-462-1874
Practice Address - Street 1:184 STATE ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-6637
Practice Address - Country:US
Practice Address - Phone:978-462-1888
Practice Address - Fax:978-462-1874
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5076101YM0800X
MA1168106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA277570000OtherMAGELLAN
MA217350370OtherUNITED BEHAVIORAL HEALTH
MALM0849OtherBLUE CROSS BLUE SHIELD
MA276580493OtherAETNA
MA461249OtherTUFTS
MA1892185OtherMASSHEALTH