Active NPI
Prairie Psychological Services, Inc
- Clinical Psychologist
- Wayne, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 531
- Legal business name
- PRAIRIE PSYCHOLOGICAL SERVICES, INC
- Practice address
- 219 Main St
Ste 2
Wayne, NE 68787-1924 - Phone
- (402) 494-0040
- NPI assigned
- Mar 14, 2014
- Organization subpart
- Yes
- Parent organization
- PRAIRIE PSYCHOLOGICAL SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Twila L Preston, PHD
- Title
- Clinical Psychologist/Owner
- Phone
- (402) 494-0040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 531 | NE | Primary |
Addresses
Primary practice location
219 Main St
Ste 2
Wayne, NE 68787-1924
Mailing address
625 E 39TH St
South Sioux City, NE 68776-3445
Phone (402) 494-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293374000 | Medicaid | NE |
National Provider Directory
National Provider Directory- Part of
- Prairie Psychological Ser
Locations
625 E 39th St
South Sioux City, NE 68776
Phone (402) 494-0040
219 Main St
Ste 2
Wayne, NE 68787
Phone (402) 494-0040
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Psychologist
- South Sioux City, NE
- NPI 1639161904
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Prairie Village, KS
- NPI 1841331683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394755200000",
"number": "1144646142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E 39TH ST",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687763445",
"telephone_number": "402-494-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 MAIN ST",
"address_2": "STE 2",
"city": "WAYNE",
"state": "NE",
"postal_code": "687871924",
"telephone_number": "402-494-0040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE PSYCHOLOGICAL SERVICES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRAIRIE PSYCHOLOGICAL SERVICES, INC",
"enumeration_date": "2014-03-14",
"last_updated": "2014-03-14",
"status": "A",
"authorized_official_last_name": "PRESTON",
"authorized_official_first_name": "TWILA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "402-494-0040",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "531",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "293374000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.