Individual provider Active NPI

Preeti Mohan Vidwans, PSY.D

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1225266646
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3700 Issued in NC
Practice address
James a Taylor Student Health Services CLB # 7470
University of North Carolina at Chapel Hill
Chapel Hill, NC 27599-7470
Phone
(919) 966-3658
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3700 NC Primary

Addresses

Primary practice location

James a Taylor Student Health Services CLB # 7470
University of North Carolina at Chapel Hill
Chapel Hill, NC 27599-7470

Mailing address

James a Taylor Student Health Services CLB # 7470
University of North Carolina at Chapel Hill
Chapel Hill, NC 27599-7470
Phone (919) 966-3658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002284 NC Practitioner - Clinical Psychologist 1254774961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

5960 Fairview Rd
Suite 400
Charlotte, NC 28210-3119
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Jan 1, 2024 Accepting new patients
Total Life FL PA Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

5960 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (833) 356-6732

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1225266646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JAMES A TAYLOR STUDENT HEALTH SERVICES CLB # 7470",
            "address_2": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997470",
            "telephone_number": "919-966-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES A TAYLOR STUDENT HEALTH SERVICES CLB # 7470",
            "address_2": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997470",
            "telephone_number": "919-966-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDWANS",
        "first_name": "PREETI",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.