Individual provider Active NPI

Denise Raquel Jaimes-Villanueva, PSYD

  • Clinical Psychologist
  • Santa Barbara, CA
National Provider Identifier
1629384656
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33839 Issued in CA
Practice address
731 E Haley St
Santa Barbara, CA 93103-3147
Phone
(805) 699-6242
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33839 CA Primary

Addresses

Primary practice location

731 E Haley St
Santa Barbara, CA 93103-3147

Mailing address

731 E Haley St
Santa Barbara, CA 93103-3147
Phone (805) 699-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 12, 2024 through Jun 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY33839CAMDClinical Psychologist
33839CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Psychotherapy PC Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1629384656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E HALEY ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033147",
            "telephone_number": "805-699-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E HALEY ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931033147",
            "telephone_number": "805-699-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIMES-VILLANUEVA",
        "first_name": "DENISE",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.