Individual provider Active NPI

Lucila Quinto Villaluz, M.D.

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1346380128
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD055156-L Issued in PA
Practice address
865 E 4TH St
Bethlehem, PA 18015-1935
Phone
(670) 691-4357
Fax
(484) 221-9130
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD055156-L PA Primary

Addresses

Primary practice location

865 E 4TH St
Bethlehem, PA 18015-1935

Mailing address

PO Box 5349
Bethlehem, PA 18015-0349
Phone (484) 221-9136

Other identifiers 4

IdentifierTypeStateIssuer
018606OtherPAAMERIHEALTH 65 COMPLETE
G80233OtherPAMAGELLAN BEHAVIORAL HEALT
018606OtherPAGATEWAY 65 COMPLETE
001621278MedicaidPA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD055156-LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bet-El Counseling Services, Inc Psychiatry CurrentSince Dec 16, 2020 Accepting new patients
Corazon a Guerra MD PC Psychiatry Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1346380128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5349",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150349",
            "telephone_number": "484-221-9136",
            "fax_number": "484-221-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 4TH ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151935",
            "telephone_number": "670-691-4357",
            "fax_number": "484-221-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALUZ",
        "first_name": "LUCILA",
        "middle_name": "QUINTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD055156-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65 COMPLETE",
            "identifier": "018606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "G80233",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY 65 COMPLETE",
            "identifier": "018606",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001621278",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.