Individual provider Active NPI

Lilliam Villalobos, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1437217007
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32040 Issued in AZ
Practice address
5030 W McDowell Rd Ste 16
Phoenix, AZ 85035-3947
Phone
(602) 278-1414
Fax
(602) 269-8410
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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 32040 AZ Primary

Addresses

Primary practice location

5030 W McDowell Rd Ste 16
Phoenix, AZ 85035-3947

Mailing address

3003 N Central Ave Ste 305
Phoenix, AZ 85012-2904
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
894247MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000800 AZ Practitioner - Psychiatry 8628029766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince Oct 5, 2015 Accepting new patients
Terros, Inc. Current Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
United Health Services Hospitals, Inc. PastSince Jan 1, 2010 Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

1111 S Stapley Dr
Mesa, AZ 85204
Phone (480) 464-6802

4201 N 16th St
Ste 250
Phoenix, AZ 85016
Phone (602) 248-9247

3864 N 27th Ave
Phoenix, AZ 85017
Phone (602) 358-0078

2400 W Dunlap Ave
Ste 300
Phoenix, AZ 85021
Phone (602) 943-2999

12835 N 32nd St
Phoenix, AZ 85032
Phone (602) 389-3660

8836 N 23rd Ave
Ste B1
Phoenix, AZ 85021
Phone (602) 944-9810

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

4616 N 51st Ave
Ste 108
Phoenix, AZ 85031
Phone (480) 566-6497

5030 W McDowell Rd
Ste 16
Phoenix, AZ 85035
Phone (602) 278-1414

10220 N 31st Ave
Ste 120
Phoenix, AZ 85051

1232 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 463-1232

3131 E 2nd St
Tucson, AZ 85716
Phone (520) 477-8697

Interoperability endpoints

  • Direct secure messaging: lilliam.villalobosmd.p1@direct.terros.nextgenshare.com

Organizations & group practices 6

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1437217007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122904",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 W MCDOWELL RD STE 16",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353947",
            "telephone_number": "602-278-1414",
            "fax_number": "602-269-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "LILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "32040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894247",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.