Individual provider Active NPI

Sandee Villeza, MFT, CSAC

  • Marriage & Family Therapist
  • Waipahu, HI
National Provider Identifier
1750831392
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT-479 Issued in HI
Practice address
94-1189 Nanilihilihi St
Waipahu, HI 96797-4134
Phone
(808) 223-2331
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT-479 HI Primary

Addresses

Primary practice location

94-1189 Nanilihilihi St
Waipahu, HI 96797-4134

Mailing address

94-1189 Nanilihilihi St
Waipahu, HI 96797-4134
Phone (808) 223-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT-479HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magellan Therapeutic Services, LLC Past Accepting new patients

Organizations & group practices 1

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1750831392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1189 NANILIHILIHI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974134",
            "telephone_number": "808-223-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1189 NANILIHILIHI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974134",
            "telephone_number": "808-223-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEZA",
        "first_name": "SANDEE",
        "credential": "MFT, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.