Paola Marie Villanueva, M.S.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

8073 Issued in PR

Practice address

Moca Medical Plaza Num 113 Carr 110 KM 12 H 4
Moca, PR 00676-9998

Phone

(939) 200-3629

NPI assigned

Jul 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Psidep LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Moca, PR
  • NPI 1790414530
  NPD

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1194561829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "939-200-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOCA MEDICAL PLAZA NUM 113 CARR 110 KM 12 H 4",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769998",
            "telephone_number": "939-200-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "PAOLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "8073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Vera Quinones, MD
• Vera Ruiz Family Medicine, CSP.
• Dercy M. Vera
• Veras Medical Equipment
• Veronica Irizarry Rodriguez
• Visual World
• Viva Salud Chiropractic Clinic LLC
• Voladoras Health Center
• Western Orthopedic Services PSC
• Francisco J Zamora Echevarria, MD

• Counseling Psychologist in Moca, PR
• Providers in Moca, PR by specialty
• Counseling Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.