Organization Active NPI

Villar Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Lake Mary, FL
National Provider Identifier
1306239553
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY8696 Issued in FL
Legal business name
VILLAR NEUROPSYCHOLOGY, LLC
Practice address
1301 S International Pkwy
Suite 2021
Lake Mary, FL 32746-1409
Phone
(407) 906-8843
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Rebecca C. Villar, PSYDNPI 1174862882
Title
Neuropsychologist
Phone
(407) 906-8843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PY8696 FL Primary

Addresses

Primary practice location

1301 S International Pkwy
Suite 2021
Lake Mary, FL 32746-1409

Mailing address

PO Box 941652
Maitland, FL 32794-1652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151008000262 FL Part B Supplier - Clinic/Group Practice 8729396999 Receives reassigned benefits from 4 practitioners
Practice locations: Lake Mary, FL

National Provider Directory

National Provider Directory

Locations

2500 W Lake Mary Blvd
Ste 110
Lake Mary, FL 32746
Phone (407) 906-8843

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1306239553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941652",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327941652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S INTERNATIONAL PKWY",
            "address_2": "SUITE 2021",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461409",
            "telephone_number": "407-906-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAR NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "VILLAR",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "407-906-8843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.