NPIMap

Organization Active NPI

Northwest Behavioral Health Consultants, LLC

Doing business as NBHC

  • Clinical Psychologist
  • Chillicothe, MO
National Provider Identifier
1366776304
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2008034858 Issued in MO
Legal business name
NORTHWEST BEHAVIORAL HEALTH CONSULTANTS, LLC
Doing business as
NBHC
Practice address
895 Fairway Dr.
Chillicothe, MO 64601-2019
Phone
(660) 646-4655
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Dr. Samuel Preylo Jr., PSY.D.NPI 1669506283
Title
Partner & Clinical Psychologist
Phone
(660) 646-4655

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2008034858 MO Primary

Addresses

Primary practice location

895 Fairway Dr.
Chillicothe, MO 64601-2019

Mailing address

895 Fairway Dr.
Chillicothe, MO 64601-2019
Phone (660) 646-4655

Other names 1

  • NBHC Doing business as

National Provider Directory

National Provider Directory

Locations

895 Fairway Dr
Chillicothe, MO 64601
Phone (660) 646-4655

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1366776304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 FAIRWAY DR.",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012019",
            "telephone_number": "660-646-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 FAIRWAY DR.",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012019",
            "telephone_number": "660-646-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEHAVIORAL HEALTH CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "PREYLO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PARTNER & CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "660-646-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2008034858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.