Individual provider Active NPI

Anthony Villa, PSYD

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1649056441
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35606 Issued in CA
Practice address
1633 E 4TH St Ste 156
Santa Ana, CA 92701-5170
Phone
(949) 415-4443
NPI assigned
Sep 6, 2023
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35606 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1633 E 4TH St Ste 156
Santa Ana, CA 92701-5170

Mailing address

300 S Doheny Dr # 215
Los Angeles, CA 90048-3704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251031001521 CA Practitioner - Clinical Psychologist 2961991609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 E Olive Ave
Suite 540
Burbank, CA 91501-2132
Phone (818) 446-2238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35606CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Center for Behavioral Medicine, a Psychological Corporation Psychologist CurrentSince Oct 17, 2025 Accepting new patients
Rowan Center for Behavioral Medicine, a Psychological Corporation Psychologist CurrentSince Oct 17, 2025 Accepting new patients

Locations

500 E Olive Ave
Ste 540
Burbank, CA 91501
Phone (818) 446-2238

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1649056441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S DOHENY DR # 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST STE 156",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015170",
            "telephone_number": "949-415-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "ANTHONY",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35606",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.