Individual provider Active NPI

Alexis Montoya Villalpando, M.S. PSYCHOLOGY

  • Behavior Analyst
  • Stockton, CA
National Provider Identifier
1043711195
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-51181 Issued in CA
Practice address
1141 Lever Blvd
Stockton, CA 95206-2855
Phone
(209) 872-6091
NPI assigned
Feb 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-51181 CA Primary

Addresses

Primary practice location

1141 Lever Blvd
Stockton, CA 95206-2855

Mailing address

2885 Pixie Dr
Stockton, CA 95203-1115
Phone (209) 235-7068

Other practice location 1

2291 W March Ln Ste C101
Stockton, CA 95207-6669
Phone (916) 745-8211

Other names 1

  • Mr. Alex Montoya Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1043711195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 PIXIE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952031115",
            "telephone_number": "209-235-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 LEVER BLVD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062855",
            "telephone_number": "209-872-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2291 W March Ln Ste C101",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076669",
            "country_code": "US",
            "telephone_number": "916-745-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA VILLALPANDO",
        "first_name": "ALEXIS",
        "name_prefix": "Mr.",
        "credential": "M.S. PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-21-51181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "MONTOYA",
            "prefix": "MR.",
            "credential": "M.S. PSYCHOLOGY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.