Organization Active NPI

Medical Neuropychological

  • Neurological Surgery Physician
  • Eugene, OR
National Provider Identifier
1144159336
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MEDICAL NEUROPYCHOLOGICAL
Practice address
1275 Polk St
Eugene, OR 97402-3959
Phone
(786) 503-0203
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Prof. Carlos Antonio Villarreal Sr., PHD MD
Title
Neurology
Phone
(786) 503-0203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1275 Polk St
Eugene, OR 97402-3959

Mailing address

1275 Polk St
Eugene, OR 97402-3959
Phone (786) 503-0203

Other identifiers 1

IdentifierTypeStateIssuer
541671142MedicaidOR

National Provider Directory

National Provider Directory

Locations

1275 Polk St
Eugene, OR 97402
Phone (786) 503-0203

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1144159336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POLK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023959",
            "telephone_number": "786-503-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POLK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023959",
            "telephone_number": "786-503-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NEUROPYCHOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "NEUROLOGY",
        "authorized_official_telephone_number": "786-503-0203",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541671142",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.