Active NPI
Lilliam Villalobos, M.D.
- Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 32040
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 894247 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terros Inc | Current | 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. | Past | 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
- 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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1841498060
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1356202360
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
-
- Case Management Agency
- Phoenix, AZ
- NPI 1730139593
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.