Organization Active NPI

Diana L. Villegas PH.D. Licsw

  • Clinical Social Worker
  • Acton, MA
National Provider Identifier
1952529927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DIANA L. VILLEGAS PH.D. LICSW
Practice address
481 Great Rd
Ste 215
Acton, MA 01720-4157
Phone
(978) 266-2990
Fax
(978) 266-2990
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Diana L. Villegas, PH.D. MSWNPI 1053494104
Title
Psychotherapist
Phone
(978) 266-2990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

481 Great Rd
Ste 215
Acton, MA 01720-4157

Mailing address

481 Great Rd
Ste 215
Acton, MA 01720-4157
Phone (978) 266-2990

Other identifiers 1

IdentifierTypeStateIssuer
P04294OtherMABC & BS OF MA

National Provider Directory

National Provider Directory

Locations

481 Great Rd
Ste 215
Acton, MA 01720
Phone (978) 266-2990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952529927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 GREAT RD",
            "address_2": "STE 215",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204157",
            "telephone_number": "978-266-2990",
            "fax_number": "978-266-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 GREAT RD",
            "address_2": "STE 215",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204157",
            "telephone_number": "978-266-2990",
            "fax_number": "978-266-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA L. VILLEGAS PH.D. LICSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-266-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.  MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS OF MA",
            "identifier": "P04294",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.