Active NPI
Emily Villasmil, MA
- Clinical Child & Adolescent Psychologist
- Loma Linda, CA
National Provider Identifier
1457177651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 11365 Anderson St
Loma Linda, CA 92354-3407 - Phone
- (909) 747-1200
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Psychologist | 103T00000X |
Addresses
Primary practice location
11365 Anderson St
Loma Linda, CA 92354-3407
Mailing address
36776 Oak Meadows PL
Murrieta, CA 92562-4386
Phone (951) 970-8022
Other practice location 1
11130 Anderson St
Loma Linda, CA 92350-1729
Phone (909) 558-8577
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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- El Monte, CA
- NPI 1912732892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1457177651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36776 OAK MEADOWS PL",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925624386",
"telephone_number": "951-970-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11365 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543407",
"telephone_number": "909-747-1200"
}
],
"practiceLocations": [
{
"address_1": "11130 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923501729",
"country_code": "US",
"telephone_number": "909-558-8577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLASMIL",
"first_name": "EMILY",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.