Alicia Aixala Price, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2006029896 Issued in MO

Practice address

3407 Berrywood Dr
Suite 200
Columbia, MO 65201-6500

Phone

(573) 443-1177

Fax

(573) 499-1564

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 2, 2016 through Aug 2, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821181827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E BRANDON RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033565",
            "telephone_number": "573-441-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 BERRYWOOD DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016500",
            "telephone_number": "573-443-1177",
            "fax_number": "573-499-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ALICIA",
        "middle_name": "AIXALA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006029896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nan R. Presser, PH.D.
• Mark W. Pressley, D.C.
• Donna R Preston, R.PH
• Nathaniel Hayse Prevette, DNP
• George Prica Jr., M.D.
• Jill Karen Price, A.G.N.P.
• Christopher Slaughter Prickett, PHD
• Marydeth L Priesmeyer, PHD
• Prime Supported Living LLC
• Prime Supported Living LLC

• Clinical Psychologist in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.