PAMELA S PRESTBY (PHD) – Clinical Psychologist, NPI 1790805885

PAMELA S PRESTBY (PHD) is a healthcare provider. based in Wauwatosa, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2250057 (WI). The NPI Number for PAMELA S PRESTBY (PHD) is 1790805885

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA S PRESTBY (PHD)
NPI
1790805885
Phone
(414) 771-9304
Address
2600 N MAYFAIR RD STE 650
Enumeration Date
30 March 2007
Last Update Date
11 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4147719304
Graduation Year
1986 (40 years ago)
PAC ID
6507753373
Group Practice PAC ID
3072580547
Professional Enrollment ID
I20040304000568
Address ID
WI532261321WA2600XRDXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

Provider Addresses for PAMELA S PRESTBY (PHD)

  • 2600 N MAYFAIR RD STE 650

    WAUWATOSA, WI 532261322

    Phone: (414) 771-9304

    Fax: (414) 771-9543

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040304000568IClinical PsychologistWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour27527$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072580547View full group profile
NameSpecialtyState
Clinical PsychologistWI
Clinical PsychologistWI
Mental Health CounselorWI
Marriage And Family TherapistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is PAMELA S PRESTBY (PHD)'s NPI number?
PAMELA S PRESTBY (PHD)'s NPI is 1790805885 — the number used across U.S. healthcare to identify this provider.
Is PAMELA S PRESTBY (PHD) shown as active in public data?
Registry records indicate PAMELA S PRESTBY (PHD) maintains an active NPI.
What expertise is attributed to PAMELA S PRESTBY (PHD)?
PAMELA S PRESTBY (PHD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PAMELA S PRESTBY (PHD)?
Travel planning: use Wauwatosa, Wisconsin as the reference point for PAMELA S PRESTBY (PHD), then confirm.
When was this NPI issued?
Enumeration for PAMELA S PRESTBY (PHD) is noted as March 30, 2007 where the registry provides it.

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