Active NPI
Melvyn Preisz, PH.D
- Clinical Psychologist
- Oklahoma City, OK
National Provider Identifier
1386755148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 132
- Practice address
- 3629 NW 51St St
Oklahoma City, OK 73112-5610 - Phone
- (405) 601-0954
- Fax
- (405) 601-3750
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 132 | OK | Primary |
Addresses
Primary practice location
3629 NW 51St St
Oklahoma City, OK 73112-5610
Mailing address
3629 NW 51St St
Oklahoma City, OK 73112-5610
Phone (405) 601-0954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3629 NW 51St St
Oklahoma City, OK 73112-5610
Phone (405) 949-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preisz McMillin Clinic Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Oklahoma City, OK
- NPI 1316066749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1386755148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 NW 51ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125610",
"telephone_number": "405-601-0954",
"fax_number": "405-601-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3629 NW 51ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125610",
"telephone_number": "405-601-0954",
"fax_number": "405-601-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREISZ",
"first_name": "MELVYN",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Precision Vision Care, LLC.
- Precision Vision Surgery Center, LLC
- Preferred RX, LLC
- Preferred Wellness P.L.L.C.
- Preisz McMillin Clinic Inc
- Premier Anesthesia Inc
- Premier Anesthesia of Oklahoma City
- Premier Behavioral Health & Therapeutic Services
- Premier Breast Health Institute of Oklahoma LLC
- Premier Dentistry P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.