Active NPI
Patrick T Villani, PH. D.
- Clinical Psychologist
- Methuen, MA
National Provider Identifier
1669970091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 696
- Practice address
- 34 Palanga St
Methuen, MA 01844-1312 - Phone
- (978) 686-3385
- NPI assigned
- Jan 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 696 | MA | Primary |
Addresses
Primary practice location
34 Palanga St
Methuen, MA 01844-1312
Mailing address
34 Palanga St
Methuen, MA 01844-1312
Phone (978) 686-3385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696 | MA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1669970091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PALANGA ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018441312",
"telephone_number": "978-686-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PALANGA ST",
"city": "METHUEN",
"state": "MA",
"postal_code": "018441312",
"telephone_number": "978-686-3385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANI",
"first_name": "PATRICK",
"middle_name": "T",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.