Wayne Andrew Prepura, PHD COUNSELLING PSYC

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

501 W Peterson Rd
Allied Psychological Services LTD
Libertyville, IL 60048

Phone

(847) 680-3828

Fax

(847) 680-3844

NPI assigned

Aug 9, 2007

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Power in Motion Rehabilitation Services, Inc.

  • Physical Therapist
  • Libertyville, IL
  • NPI 1548369622
  NPD

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1265623631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W PETERSON RD",
            "address_2": "ALLIED PSYCHOLOGICAL SERVICES LTD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-680-3828",
            "fax_number": "847-680-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W PETERSON RD",
            "address_2": "ALLIED PSYCHOLOGICAL SERVICES LTD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-680-3828",
            "fax_number": "847-680-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREPURA",
        "first_name": "WAYNE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHD COUNSELLING PSYC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "4923581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Power to Learn
• Sara Jasmina Eftekhari Power, PHARMD
• Cynthia L Powers, PTA
• Prairie Home Healthcare Services Corporation
• Morgan Prellberg
• Kevin M Prescott, MD
• Victoria Priola, PSYD
• Proactive Alternatives PC
• George Michael Procento, M.D.
• Caitlyn Proepper

• Psychologist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.

Verify at the official NPI Registry.