DR. MICHAEL J PRESTON (NPI# 1871673269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871673269 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J PRESTON |
| Credential | PHD |
| Practice Address |
169 Libbey Industrial Pkwy 2nd Floor Weymouth MA 02189-3101 |
| Practice Telephone | 7816821060 |
| Practice Fax Number | 7816821061 |
| Mailing Telephone | 7816821060 |
| Mailing Fax Number | 7816821061 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 4195 | MA | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
4195 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | EVERCARE PROVIDER NUMBER | 6101022 | 01 |
| MD | CIGNA PROVIDER NUMBER | 1047128 | 01 |
| MD | BCBS PROVIDER NUMBER | W06395 | 01 |
| MA | 0503509 | 05 | |
| MD | MAGELLAN PROVIDER NUMBER | 461315000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396766143 | Michael C Preston | Emergency Medicine | 1542 Poplar Springs Rd, Ringgold, GA 30736-3333 | 2006-07-21 |
| 1194706523 | Michael Craig Preston | Dentist | 20600 Lake Chabot Rd, Suite 103, Castro Valley, CA 94546-5432 | 2005-11-11 |
| 1073161527 | Michael Preston | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2019-08-28 |
| 1376197863 | Michael Edward Preston | Social Worker | 700 Brooksedge Blvd, Westerville, OH 43081-2820 | 2019-08-01 |
| 1053802520 | Michael David Preston | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8103, Lubbock, TX 79430-0002 | 2018-05-21 |
| 1336658756 | Michael Preston | Counselor | 940 Ebenezer Blvd, Madison, MS 39110-6002 | 2017-09-28 |
| 1558892562 | Michael Preston | Counselor | 359 Fenn St, Administrative, Pittsfield, MA 01201-5261 | 2017-03-22 |
| 1609113653 | Michael Preston | Pharmacist | 14130 W Newberry Rd, Newberry, FL 32669-2759 | 2013-01-10 |
| 1578735965 | Michael Sean Preston | Dentist | 350 5th Ave, Suite 6923, New York, NY 10118-0110 | 2008-03-26 |
| 1750345781 | Michael H Preston | Pharmacist | 2200 Sw Gage Blvd, Topeka, KS 66622-0001 | 2006-04-14 |
| Street Address |
169 LIBBEY INDUSTRIAL PKWY 2ND FLOOR |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366452153 | Maria M Vazquez | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2006-08-08 |
| 1053925883 | Cyrielle Andrew | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2020-08-31 |
| 1124672522 | Yangmu Xu | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2019-07-25 |
| 1154845329 | Caroline Byron | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2017-07-31 |
| 1598114308 | Meredith Tumilty | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2016-06-13 |
| 1972972065 | Melissa Stone | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2015-09-18 |
| 1841612660 | Dorothie Ferdinand | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2014-01-14 |
| 1710326962 | Alexandra Nelson | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1932548120 | Hart K Maccardell-fossel | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1396066874 | Roger Pottanat | Psychiatry & Neurology | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2010-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672522 | Yangmu Xu | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2019-07-25 |
| 1164870598 | Lauren Zeranski Chisholm | Clinical Neuropsychologist | 169 Libbey Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2016-05-26 |
| 1205926946 | Neurobehavioral Associates IIi, Inc | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
| 1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
| 1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
| 1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
| 1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
| 1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.