Individual provider Active NPI

Edgar Javier Villarreal, PH.D

  • Psychologist
  • Denver, CO
National Provider Identifier
1396003026
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001339 Issued in IA
Practice address
1230 S Parker Rd Ste 114
Denver, CO 80231-2119
Phone
(956) 324-9335
NPI assigned
May 1, 2012
Last updated
Mar 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001339 IA Primary

Addresses

Primary practice location

1230 S Parker Rd Ste 114
Denver, CO 80231-2119

Mailing address

1230 S Parker Rd Ste 114
Denver, CO 80231-2119
Phone (956) 324-9335

Other practice location 1

1230 S Parker Rd Ste 114
Denver, CO 80231-2119
Phone (956) 324-9335

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001339IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inflection Mental Health and Consulting Psychologist CurrentSince Mar 30, 2025 Accepting new patients

Locations

1230 S Parker Rd
Ste 114
Denver, CO 80231
Phone (303) 630-9115

Organizations & group practices 1

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1396003026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S PARKER RD STE 114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312119",
            "telephone_number": "956-324-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S PARKER RD STE 114",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312119",
            "telephone_number": "956-324-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 S Parker Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802312119",
            "country_code": "US",
            "telephone_number": "956-324-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "EDGAR",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.