Individual provider Active NPI

Rebekah Villalon, PSYCHOLOGIST

  • Psychologist
  • Anchorage, AK
National Provider Identifier
1356718738
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
187054 Issued in AK
Practice address
205 E Benson Blvd Ste 537
Anchorage, AK 99503-4019
Phone
(907) 921-2014
Fax
(907) 921-2015
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 187054 AK Primary

Addresses

Primary practice location

205 E Benson Blvd Ste 537
Anchorage, AK 99503-4019

Mailing address

205 E Benson Blvd Ste 537
Anchorage, AK 99503-4019
Phone (907) 921-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
187054AKMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northbridge Systems Psychology and Consultation, LLC Psychologist Current Accepting new patients
Southcentral Foundation CurrentSince Sep 1, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 1, 2023 Accepting new patients
Southcentral Foundation Current Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4130 San Ernesto Ave
Anchorage, AK 99508
Phone (907) 729-5070

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

205 E Benson Blvd
Ste 537
Anchorage, AK 99503
Phone (907) 921-2014

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

Organizations & group practices 4

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1356718738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E BENSON BLVD STE 537",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034019",
            "telephone_number": "907-921-2014",
            "fax_number": "907-921-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E BENSON BLVD STE 537",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034019",
            "telephone_number": "907-921-2014",
            "fax_number": "907-921-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALON",
        "first_name": "REBEKAH",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AK",
            "license": "187054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.