Magdalena Perez-Villlanueva, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007870 Issued in IL

Practice address

1920 Thoreau Dr N
Schaumburg, IL 60173-4176

Phone

(847) 303-1880

Fax

(847) 303-1881

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amaoli LLC

  dba Luna Behavioral Health Clinic

  • Psychologist
  • Elgin, IL
  • NPI 1295348506
  NPD

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1639413412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 PROSPECT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202934",
            "telephone_number": "847-754-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 THOREAU DR N",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734176",
            "telephone_number": "847-303-1880",
            "fax_number": "847-303-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-VILLLANUEVA",
        "first_name": "MAGDALENA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Healthlink SC (Swarap Karande MD)
• Pediatric Healthlink, S.C.
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Stacey Pelton, PSY.D.
• Emmanuel Adam Perakis, MD
• Cassandra Perez, MS, LCPC, LPC, NCC
• Melinda Perez, LCSW
• Venus Marie Perez, RN
• Yarisa Perez
• Peritia Pediatric Therapy, LLC

• Clinical Psychologist in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.