Raul De Villegas-Decker, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004098 Issued in VA

Practice address

10650 Page Ave
Fairfax, VA 22030-4004

Phone

(703) 246-2808

NPI assigned

Sep 23, 2009

Sex

Male

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

State licenses

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1659605699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 RAINY DAY WAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553858",
            "telephone_number": "703-786-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 PAGE AVE",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304004",
            "telephone_number": "703-246-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VILLEGAS-DECKER",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole De Las Alas, MSN, FNP-BC
• Frank Armand De Latour
• Travis James De Mik, M.D.
• Claudia Marlen De Paz
• Miranda Lynn De Roos-Louden, PA-C, MPA, BIS
• Ian De Vocht
• Sabinel Deacu, M.D.
• Lauren Elizabeth Deahl, DVM
• Dean a. Wright O.D.
• Dean Consulting, Inc

• Clinical Psychologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.