Active NPI
Manuel C. Villarreal Jr., PHD
- Clinical Psychologist
- Bakersfield, CA
National Provider Identifier
1346994852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33140
- Practice address
- 11614 Pacific Harbor Ave
Bakersfield, CA 93312-8232 - Phone
- (903) 948-4448
- NPI assigned
- Feb 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33140 | CA | Primary |
Addresses
Primary practice location
11614 Pacific Harbor Ave
Bakersfield, CA 93312-8232
Mailing address
11614 Pacific Harbor Ave
Bakersfield, CA 93312-8232
Phone (903) 948-4448
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33140 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1346994852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11614 PACIFIC HARBOR AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933128232",
"telephone_number": "903-948-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11614 PACIFIC HARBOR AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933128232",
"telephone_number": "903-948-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "MANUEL",
"middle_name": "C.",
"name_suffix": "Jr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.