Individual provider Active NPI

Alexandra M. Villagran, MD

  • Child & Adolescent Psychiatry Physician
  • The Woodlands, TX
National Provider Identifier
1780262220
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
12985121-1205 Issued in UT
Practice address
17350 St Lukes Way Ste 220
The Woodlands, TX 77384-4172
Phone
(281) 465-9229
NPI assigned
Mar 29, 2021
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12985121-1205 UT
Psychiatry Physician 2084P0800X 12985121-1205 UT
Child & Adolescent Psychiatry Physician 2084P0804X 12985121-1205 UT Primary

Addresses

Primary practice location

17350 St Lukes Way Ste 220
The Woodlands, TX 77384-4172

Mailing address

17350 St Lukes Way Ste 220
The Woodlands, TX 77384-4172
Phone (281) 465-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831001472 UT Order and Referring Only - Pediatric MedicinePractitioner - PsychiatryPractitioner - Pediatric Medicine 6103200704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12985121-1205UTMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1780262220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 220",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844172",
            "telephone_number": "281-465-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 220",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844172",
            "telephone_number": "281-465-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAGRAN",
        "first_name": "ALEXANDRA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "12985121-1205",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "12985121-1205",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "UT",
            "license": "12985121-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.