Individual provider Active NPI

Nicholas Paul Prelesnik, AMFT

  • Psychoanalyst
  • Riverside, CA
National Provider Identifier
1518695865
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
145495 Issued in CA
Practice address
3224 Lemon St
Riverside, CA 92501-2927
Phone
(951) 318-1504
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 145495 CA Primary

Addresses

Primary practice location

3224 Lemon St
Riverside, CA 92501-2927

Mailing address

3224 Lemon St
Riverside, CA 92501-2927
Phone (951) 318-1504

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Riverside Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Three Wise Persons Family Therapy Inc CurrentSince Jun 23, 2025 Accepting new patients

Locations

136 S Imperial Hwy
Anaheim, CA 92807
Phone (562) 879-7996

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1518695865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012927",
            "telephone_number": "951-318-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 LEMON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012927",
            "telephone_number": "951-318-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRELESNIK",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "145495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Riverside",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Riverside",
            "address_1": "3224 Lemon St",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925012927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.