PRAIRIE PSYCHOLOGICAL SERVICES INC. NPI 1639161904

NPI Information

  • NPI: 1639161904
  • Provider Name: PRAIRIE PSYCHOLOGICAL SERVICES INC.
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 625 E 39TH ST
    SOUTH SIOUX CITY, NE
    ZIP 68776
  • Phone: (402) 494-0040

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NPI Details

PRAIRIE PSYCHOLOGICAL SERVICES INC. is a clinical psychologist in South Sioux City, NE. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PRAIRIE PSYCHOLOGICAL SERVICES INC. NPI is 1639161904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

625 E 39TH ST
SOUTH SIOUX CITY, NE
ZIP 68776-445
Phone: (402) 494-0040
Fax: (402) 494-0050

The provider's authorized official is Twila L Preston .
The authorized official title is Owner and has the following contact phone number (402) 494-0040.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical808NEBRASKANo
2101YP2500XCounselorProfessional1187NEBRASKANo
3101YA0400XCounselorAddiction (Substance Use Disorder)371NEBRASKANo
4101YP2500XCounselorProfessional1729NEBRASKANo
5103TC0700XPsychologistClinical531NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1099505MEDICARE UPIN
2=========26MEDICAIDNEBRASKA
310025015800MEDICAIDNEBRASKA
4=========OTHERNEBRASKABCBSNE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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