Individual provider Active NPI

Manuel Villagrana, ACT

  • Addiction (Substance Use Disorder) Psychologist
  • Hot Springs, SD
National Provider Identifier
1336092873
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
8712 Issued in SD
Practice address
112 N Chicago St
Hot Springs, SD 57747-1632
Phone
(605) 745-6300
Fax
(605) 718-0404
NPI assigned
Feb 16, 2026
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 8712 SD Primary

Addresses

Primary practice location

112 N Chicago St
Hot Springs, SD 57747-1632

Mailing address

1520 Haines Ave Ste 6
Rapid City, SD 57701-0710
Phone (605) 716-7841

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

LicenseStateTypeSpecialty
8712SDMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Tamang MD Consulting Services PC PastSince Oct 10, 2018 Accepting new patients
Addiction Recovery Centers of the Black Hills PastSince Jul 5, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18632/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1336092873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HAINES AVE STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577010710",
            "telephone_number": "605-716-7841",
            "fax_number": "605-718-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577471632",
            "telephone_number": "605-745-6300",
            "fax_number": "605-718-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAGRANA",
        "first_name": "MANUEL",
        "credential": "ACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "8712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.