Healthcare Provider Details

I. General information

NPI: 1881245983
Provider Name (Legal Business Name): NEACOL ROBINSON PMHNP-BC, APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 N LIMESTONE ST
SPRINGFIELD OH
45503-2635
US

IV. Provider business mailing address

1822 SOUTHERN PKWY
SPRINGFIELD OH
45506-3115
US

V. Phone/Fax

Practice location:
  • Phone: 937-281-0900
  • Fax: 937-938-9751
Mailing address:
  • Phone: 585-330-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0030135
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number421348
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: