Active NPI
Roberto Santillan, M.A. - COUNSELING
- School Psychologist
- Bullhead City, AZ
National Provider Identifier
1689953754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 210026705
- Practice address
- 1004 Hancock Rd
Bullhead City, AZ 86442-5946 - Phone
- (928) 758-3951
- Fax
- (928) 758-4996
- NPI assigned
- Aug 8, 2011
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 210026705 | CA | Primary |
Addresses
Primary practice location
1004 Hancock Rd
Bullhead City, AZ 86442-5946
Mailing address
1004 Hancock Rd
Bullhead City, AZ 86442-5946
Phone (928) 758-3951
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210026705 | CA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bullhead City Elementary School District | Past | Accepting new patients | |
| Bullhead City Elementary | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Bullhead City, AZ
- NPI 1316156649
-
- Student in an Organized Health Care Education/Training Program
- Bullhead City, AZ
- NPI 1275726689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1689953754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425946",
"telephone_number": "928-758-3951",
"fax_number": "928-758-4996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 HANCOCK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864425946",
"telephone_number": "928-758-3951",
"fax_number": "928-758-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTILLAN",
"first_name": "ROBERTO",
"credential": "M.A. - COUNSELING",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "CA",
"license": "210026705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.