Philip A. Prewette, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0751 Issued in OR

Practice address

1123 Hill St SE Ste B
Albany, OR 97322-3292

Phone

(541) 704-7304

Fax

(541) 248-3467

NPI assigned

Jan 17, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Willamette Valley Pediatrics

  • Pediatrics Physician
  • Albany, OR
  • NPI 1427550557
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523664000000",
    "number": "1437201993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292",
            "telephone_number": "541-704-7304",
            "fax_number": "541-248-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292",
            "telephone_number": "541-704-7304",
            "fax_number": "541-248-3467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 E Vine St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553314",
            "country_code": "US",
            "telephone_number": "541-990-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWETTE",
        "first_name": "PHILIP",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0389",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kristina Postelwait
• Rachel Powell, RN
• Clinton E Preston, M.D.
• Julia Preuss, PA-C
• Alaine Tay Shomali Prevish, DMD
• Travis Holden Prichard
• Kayla Cherie Priddy
• Alixandre K Pruett, L.M.T.
• Vickie Lee Pruitt, LMT 5614
• Mitchell V Prunk, DPT

• Marriage & Family Therapist in Albany, OR
• Providers in Albany, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.