FRED PRINDAVILLE PHD
NPI 1760425920
Psychologist in Concordia, KS

Active since June 14, 2006
210 W 21ST ST, CONCORDIA, KS 66901(785) 243-8900(785) 243-8933 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Prindaville Phd NPPES

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

FRED PRINDAVILLE PHD (NPI 1760425920) is an individual psychologist in Concordia, Kansas, licensed in Kansas (0487) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1760425920
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameFRED PRINDAVILLECredential: PHD
Location Address210 W 21ST STConcordia, KS 66901-5200
Mailing AddressPo Box 747Manhattan, KS 66505-0747 · (785) 587-4300 · Fax (785) 587-4377
Fax(785) 243-8933
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 22, 2013
NPI 1760425920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in KS · 0487
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
210 W 21ST ST, Concordia, KS 66901

Other Identifiers 5

Medicare UPINR31968KS
Other11654639Caqh
Medicare PIN119780
Medicaid200440650AKS
Other119780KS · Bcbs

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
210 W 21ST ST
CONCORDIA, KS 66901
Social Worker
210 W 21ST ST
CONCORDIA, KS 66901
Registered Nurse
210 W 21ST ST
CONCORDIA, KS 66901
Social Worker
210 W 21ST ST
CONCORDIA, KS 66901
Psychologist
210 W 21ST ST
CONCORDIA, KS 66901
Counselor (Professional)
210 W 21ST ST
CONCORDIA, KS 66901
Social Worker (Clinical)
210 W 21ST ST
CONCORDIA, KS 66901
Social Worker (Clinical)
210 W 21ST ST
CONCORDIA, KS 66901

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 Fred Prindaville's NPI number?

The NPI number for Fred Prindaville is 1760425920. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Fred Prindaville located?

Fred Prindaville practices at 210 W 21st St, Concordia, KS 66901. The listed phone number is (785) 243-8900.

What is Fred Prindaville's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Fred Prindaville was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.