Individual provider Active NPI

Preston Hall, DO

  • Psychiatry Physician
  • Edmond, OK
National Provider Identifier
1982281952
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7808 Issued in OK
Practice address
755 W Covell Rd Ste 100
Edmond, OK 73003-2381
Phone
(866) 620-9303
Fax
(405) 378-2776
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7808 OK Primary

Addresses

Primary practice location

755 W Covell Rd Ste 100
Edmond, OK 73003-2381

Mailing address

755 W Covell Rd Ste 100
Edmond, OK 73003-2381
Phone (866) 620-9303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829002094 OK Practitioner - Psychiatry 7911408091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balance Womens Health LLCGroup PAC ID 3476927740, 89 clinicians

Practice addresses (Care Compare)

755 W Covell Rd
Suite 100
Edmond, OK 73003-2381
Phone (405) 378-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7808OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Women'S Health, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

755 W Covell Rd
Ste 100
Edmond, OK 73003
Phone (866) 620-9303

1105 SW 30th Ct
Moore, OK 73160
Phone (405) 378-4439

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.prestonhall@148561.advancedmd-direct.com

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1982281952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W COVELL RD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032381",
            "telephone_number": "866-620-9303",
            "fax_number": "405-378-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W COVELL RD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032381",
            "telephone_number": "866-620-9303",
            "fax_number": "405-378-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PRESTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "7808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.