Prevail Behavioral Health SC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PREVAIL BEHAVIORAL HEALTH SC

Practice address

15 Park PL Ste 200
Appleton, WI 54914-8250

Phone

(920) 475-0333

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Emily L Russ, PA

Title

Owner

Phone

(920) 475-0333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1881371540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK PL STE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148250",
            "telephone_number": "920-475-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK PL STE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549148250",
            "telephone_number": "920-475-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL BEHAVIORAL HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-475-0333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Family Care LLC
• Eric E Preissner, SAC-IT
• Premise Health of Wisconsin Medical SC
• Colleen Prendergast, LMHC
• Ashley Preston, MD
• Primary Care Associates of Appleton, LTD
• Primary Eye Care, S.C.
• Primemed Transportation LLC
• PRN Health Services, Inc.
• PRN Home Health & Therapy, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Appleton, WI
• Providers in Appleton, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.