PREVENTATIVE PSYCHIATRY
NPI 1225463136
Clinic/Center - Adolescent and Children Mental Health in Springfield, MO

Active since September 10, 2013
636 W REPUBLIC RD, B-112, SPRINGFIELD, MO 65807(417) 886-6067 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Preventative Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREVENTATIVE PSYCHIATRY (NPI 1225463136) is a healthcare organization registered as an adolescent and children mental health in Springfield, Missouri and active in the NPI registry since September 2013. The organization lists Colby L Wang, Md, as its authorized official.

NPPES Registry Identity

NPI1225463136
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCOLBY WANG, MD, LLC
Location Address636 W REPUBLIC RD, B-112Springfield, MO 65807-5818
Mailing Address636 W Republic Rd, B-112Springfield, MO 65807-5818 · (417) 886-6067 · Fax (417) 886-4035
Organization SubpartNo
Authorized OfficialColby L WangMd · (417) 886-6067
Enumeration DateSeptember 10, 2013
NPI 1225463136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License Licensed in MO · 2001009509
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
636 W REPUBLIC RD, Springfield, MO 65807

Other Names 1

Other NamePreventative Psychiatry

Other Identifiers 1

Medicare UPIN659312MO

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
636 W REPUBLIC RD
SPRINGFIELD, MO 65807
Chiropractor
636 W REPUBLIC RD, SUITE 108
SPRINGFIELD, MO 65807
Chiropractor
636 W REPUBLIC RD, STE 108
SPRINGFIELD, MO 65807
Psychologist
636 W REPUBLIC RD, C116
SPRINGFIELD, MO 65807
Chiropractor
636 W REPUBLIC RD, SUITE 108
SPRINGFIELD, MO 65807
Dentist (General Practice)
636 W REPUBLIC RD, SUITE 120
SPRINGFIELD, MO 65807
Chiropractor
636 W REPUBLIC RD, SUITE 108
SPRINGFIELD, MO 65807
Counselor (Professional)
636 W REPUBLIC RD, C116
SPRINGFIELD, MO 65807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colby Wang, MD, LLC's NPI number?

The NPI number for Colby Wang, MD, LLC is 1225463136. It was assigned to this organization in the NPPES registry on September 10, 2013. The provider is also known as Preventative Psychiatry.

Where is Colby Wang, MD, LLC located?

Colby Wang, MD, LLC is located at 636 W Republic Rd B-112, Springfield, MO 65807. The listed phone number is (417) 886-6067.

What is Colby Wang, MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Colby Wang, MD, LLC was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.