Organization Active NPI

Gladyslene Villalonga Psychiatric Consultation LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homestead, FL
National Provider Identifier
1417542960
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GLADYSLENE VILLALONGA PSYCHIATRIC CONSULTATION LLC
Practice address
27502 SW 134TH CT
Homestead, FL 33032-8291
Phone
(786) 499-2154
NPI assigned
Mar 6, 2021
Last updated
May 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Gladyslene Villalonga, APRN, PMHNP-BCNPI 1235727488
Title
Pmhnp, Owner
Phone
(786) 499-2154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

27502 SW 134TH CT
Homestead, FL 33032-8291

Mailing address

27502 SW 134TH CT
Homestead, FL 33032-8291
Phone (786) 499-2154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604000764 FL Part B Supplier - Clinic/Group Practice 3476952813 Receives reassigned benefits from 1 practitioner
Practice locations: Homestead, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1417542960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27502 SW 134TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328291",
            "telephone_number": "786-499-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27502 SW 134TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328291",
            "telephone_number": "786-499-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYSLENE VILLALONGA PSYCHIATRIC CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "VILLALONGA",
        "authorized_official_first_name": "GLADYSLENE",
        "authorized_official_title_or_position": "PMHNP, OWNER",
        "authorized_official_telephone_number": "786-499-2154",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.