JACQUELINE MARIE VILLALOBOS (NPI# 1215551841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215551841 |
Entity Type | Individual |
Full Name | JACQUELINE MARIE VILLALOBOS |
Practice Address |
1404 Blaine Ranch St Henderson NV 89012-4805 |
Mailing Address |
1515 E Tropicana Ave Las Vegas NV 89119-6517 |
Practice Telephone | 5127696995 |
Mailing Telephone | 5127696995 |
Enumeration Date | 2020-05-29 |
Last Update Date | 2020-05-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
Behavioral Health & Social Service Providers | ||
N | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598710824 | Jacqueline Villalobos | Naturopath | 330 N Campo St, Las Cruces, NM 88001-3433 | 2006-05-24 |
1306474929 | Jacqueline Michelle Villalobos | Social Worker | 58 Academy Road, Albany, NY 12208 | 2020-03-30 |
Street Address |
1404 BLAINE RANCH ST |
City | HENDERSON |
State | NV |
Zip Code | 89012-4805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
1821569138 | Fife Dermatology, P.C. | Dermatology | 1736 W. Horizon Ridge Parkway, Henderson, NV 89012 | 2018-12-13 |
1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
Find all providers in zip 89012 |
Taxonomy Code | 103TE1100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Exercise & Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790282002 | Community Youth Interalia | Psychologist | 9082 Vintage Wine Ave, Las Vegas, NV 89148-4916 | 2018-04-12 |
1972098366 | Jordan Janelle-yvonne Jones | Psychologist | 4794 S Eastern Ave, Las Vegas, NV 89119 | 2018-06-27 |
1821586512 | Jude Niba | Psychologist | 9082 Vintage Wine Ave, Las Vegas, NV 89148 | 2018-04-27 |
Please comment or provide details below to improve the information on JACQUELINE MARIE VILLALOBOS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.