Brooke J. D. Preylo, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2008032456 Issued in MO

Practice address

895 Fairway Dr.
Chillicothe, MO 64601-2019

Phone

(660) 646-4655

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brooke McCoy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Behavioral Health Consultants, LLC

  dba NBHC

  • Clinical Psychologist
  • Chillicothe, MO
  • NPI 1366776304
  NPD (past)
• Megan Oetinger Psy.D., LLC

  • Clinical Psychologist
  • Manhattan, KS
  • NPI 1033375761
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1043368509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 FAIRWAY DR.",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012019",
            "telephone_number": "660-646-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 FAIRWAY DR.",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012019",
            "telephone_number": "660-646-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREYLO",
        "first_name": "BROOKE",
        "middle_name": "J. D.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2008032456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494447303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "MCCOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James E Peppers Jr., M.D.
• Allison Susanne Pickering, LCSW
• Angela R Poling, PSYCHOLOGIST
• Jennifer Powell, PHARMD
• Preferred Family Healthcare, Inc.
• Proactive Physical Therapy and Sports Performance LLC
• Eleanor Ravens, MA, CCC-SLP
• Danelle Reagin, MSN, FNP
• Kimberly Marie Rice
• Marilise Rogers, DDS

• Clinical Psychologist in Chillicothe, MO
• Providers in Chillicothe, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.