Martha Lettie Villavicencio, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50334 Issued in CA

Practice address

1150 University Dr
Suite 110
Menlo Park, CA 94025-4408

Phone

(650) 678-0579

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lettie Villavicencio Professional name

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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1922332170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 UNIVERSITY DR",
            "address_2": "SUITE 110",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254408",
            "telephone_number": "650-678-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 UNIVERSITY DR",
            "address_2": "SUITE 110",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254408",
            "telephone_number": "650-678-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAVICENCIO",
        "first_name": "MARTHA",
        "middle_name": "LETTIE",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETTIE",
            "last_name": "VILLAVICENCIO",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Seyon Verdtzabella
• Rachel Lucille Veronneau
• Itoro Victor
• Amy L Vieira, PA
• Ferdinand Lacanlale Villarosa, NP
• Jaya Virmani, MD
• Justin Vo, M.D.
• Kim Phat Vo
• Danielle Monet Vosburg
• Anne-Pier Voyer, PH.D.

• Marriage & Family Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.