Individual provider Active NPI

Kim Villabona, PSY.D.

  • Psychologist
  • McAllen, TX
National Provider Identifier
1639458284
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32826 Issued in TX
Practice address
2616 Buddy Owens Blvd
McAllen, TX 78504-6900
Phone
(956) 800-5679
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32826 TX Primary

Addresses

Primary practice location

2616 Buddy Owens Blvd
McAllen, TX 78504-6900

Mailing address

2616 Buddy Owens Blvd
McAllen, TX 78504-6900
Phone (956) 800-5679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000686 TX Practitioner - Clinical Psychologist 6204002595 Reassigns benefits to 1 organization
Practice locations: McAllen, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Groves Assessment and PsychotherapyGroup PAC ID 6901299973, 2 clinicians

Practice addresses (Care Compare)

2616 Buddy Owens Blvd
McAllen, TX 78504-6900
Phone (956) 800-5679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Groves Assessment and Psychotherapy CurrentSince Feb 8, 2024 Accepting new patients
Argosy Mental Health Services P a Past Accepting new patients
Wendy McDonald PC Past Accepting new patients
Everhealth ,PLLC Psychologist Past Accepting new patients
Brazos Valley Mental Health and Wellness, LLC Past Accepting new patients

Locations

2616 Buddy Owens Blvd
McAllen, TX 78504
Phone (956) 800-5679

807 Quince Ave
McAllen, TX 78501
Phone (956) 800-5679

Organizations & group practices 5

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1639458284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 BUDDY OWENS BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046900",
            "telephone_number": "956-800-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 BUDDY OWENS BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046900",
            "telephone_number": "956-800-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLABONA",
        "first_name": "KIM",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.