Active NPI
Christopher A Preston, LPA
- Psychologist
- Wilmington, NC
National Provider Identifier
1215052055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LPA-2141
- Practice address
- 2023 S 17TH St
Wilmington, NC 28401-6600 - Phone
- (910) 251-6605
- Fax
- (910) 251-6572
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LPA-2141 | NC | Primary |
Addresses
Primary practice location
2023 S 17TH St
Wilmington, NC 28401-6600
Mailing address
106 Blackbrook LN
Wilmington, NC 28409-2363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0456U | Other | NC | BCBS |
| 6107241 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPA-2141 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1215052055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 BLACKBROOK LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284092363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016600",
"telephone_number": "910-251-6605",
"fax_number": "910-251-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "LPA-2141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0456U",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107241",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.