Yolanda Mary Villena, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012012 Issued in NY

Practice address

829 President Street
Brooklyn, NY 11215-1405

Phone

(718) 638-8015

Fax

(718) 230-0464

NPI assigned

Mar 24, 2006

Reactivated

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Park Slope Medical Health Provider, PC

  • Hematology & Oncology Physician
  • Brooklyn, NY
  • NPI 1255611919
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1336109487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 ST JOHNS PLACE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173402",
            "telephone_number": "917-612-8307",
            "fax_number": "718-230-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 PRESIDENT STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151405",
            "telephone_number": "718-638-8015",
            "fax_number": "718-230-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLENA",
        "first_name": "YOLANDA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-05-27",
        "deactivation_date": "2006-12-13",
        "reactivation_date": "2007-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01475290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lina M Villegas Pelaez, MD
• Azeneth Villegas
• Chris Mikaela Villegas, PT
• Isabel M Villegas, LCSW
• Joy A Villegas, RN
• Sarah Villere, AGPCNP-BC
• Aliyha Dwidge Villette
• Wangleicia Villiere
• Jason Villodas, LMHC
• Shereylynne Villota, OTA

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.