Twila L Preston, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

531 Issued in NE

Practice address

8014 State Line Rd
100
Prairie Village, KS 66208-3723

Phone

(913) 432-2400

Fax

(913) 432-2401

NPI assigned

Feb 12, 2007

Last updated

Jun 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rejuvenate Inc

  • Clinical Psychologist
  • Lee's Summit, MO
  • NPI 1669617841
  Medicare reassignment NPD
• Prairie Psychological Services, Inc

  • Clinical Psychologist
  • Wayne, NE
  • NPI 1144646142
  NPD (past) Authorized official
• Vordis Behavioral Health

  • Specialist
  • Overland Park, KS
  • NPI 1811455561
  NPD (past)
• John T Bopp PC

  dba Beheavioral Health Partners

  • Clinical Psychologist
  • Kansas City, MO
  • NPI 1447292180
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1841331683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8014 STATE LINE RD",
            "address_2": "100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083723",
            "telephone_number": "913-432-2400",
            "fax_number": "913-432-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 STATE LINE RD",
            "address_2": "100",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083723",
            "telephone_number": "913-432-2400",
            "fax_number": "913-432-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "TWILA",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "531",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74306484826",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE",
            "identifier": "08406",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anjulie Quick, M.D

• Clinical Psychologist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.