Active NPI
Preeti Mohan Vidwans, PSY.D
- Clinical Psychologist
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3700
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Total Life FL PA | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.