Active NPI
Dyanna Martinez Villesca
- Psychologist
- Houston, TX
National Provider Identifier
1083931307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34550
- Practice address
- 3730 Kirby Dr
Suite 800
Houston, TX 77098-3905 - Phone
- (713) 521-7575
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34550 | TX | Primary |
Addresses
Primary practice location
3730 Kirby Dr
Suite 800
Houston, TX 77098-3905
Mailing address
3730 Kirby Dr
Houston, TX 77098-3905
Phone (713) 444-4444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34550 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larka Inc | Psychologist | Past | Accepting new patients |
| Premier Psych Services LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Houston, TX
- NPI 1861970279
-
- Group Psychotherapy Psychologist
- Houston, TX
- NPI 1740226547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1083931307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 KIRBY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983905",
"telephone_number": "713-444-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 KIRBY DR",
"address_2": "SUITE 800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983905",
"telephone_number": "713-521-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLESCA",
"first_name": "DYANNA",
"middle_name": "MARTINEZ",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.