Michael J Preston, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4195 Issued in MA

Practice address

169 Libbey Industrial Pkwy
2ND Floor
Weymouth, MA 02189-3101

Phone

(781) 682-1060

Fax

(781) 682-1061

NPI assigned

Oct 17, 2006

Last updated

Mar 4, 2010By the provider in NPPES

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

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

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.

• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181
  Medicare reassignment Care Compare group NPD
• Ascendant Psychiatric & Consulting Centre

  • Clinical Psychologist
  • Hingham, MA
  • NPI 1992025506
  NPD (past)
• Child and Family Psychological Services, PLLC

  • Clinical Psychologist
  • Woburn, MA
  • NPI 1598257396

  Clinical Neuropsychologist

  NPD (past)
• Integrated Psych Services, PLLC

  dba Copley Healthcare

  • Psychiatry Physician
  • Shrewsbury, MA
  • NPI 1841883873
  NPD (past)
• Milford Franklin Counseling Services Inc

  • Psychiatry Physician
  • Milford, MA
  • NPI 1992867832
  NPD (past)
• Milford-Franklin Counseling Services, Inc.

  • Clinical Social Worker
  • Milford, MA
  • NPI 1215080593
  NPD (past)
• Nemg Hingham

  • Adult Mental Health Clinic/Center
  • Norwell, MA
  • NPI 1194472498
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1871673269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 LIBBEY INDUSTRIAL PKWY",
            "address_2": "2ND FLOOR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893101",
            "telephone_number": "781-682-1060",
            "fax_number": "781-682-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LIBBEY INDUSTRIAL PKWY",
            "address_2": "2ND FLOOR",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893101",
            "telephone_number": "781-682-1060",
            "fax_number": "781-682-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "4195",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "4195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1047128",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "6101022",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0503509",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "W06395",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "461315000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Plunkett, DPT
• Ramsay Garrett Pope
• Roger Pottanat, M.D.
• Heather Ann Pozzi, PA-C
• Robert Pressberg, M.D.
• Preventive Medicine Associates (Weymouth Medical Practice)
• Cathleen Mary Prewitt, CCCSLP
• PRN Diagnostics, Inc.
• Jessica Procida
• Lisa Putney, CRNA

• Clinical Neuropsychologist in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.

Verify at the official NPI Registry.