MRS. CAROLYN THERESA VILLARRUBIA


Address: 1150 Devereux Dr, League City, TX 77573
Phone: 2813328608

MRS. CAROLYN THERESA VILLARRUBIA (NPI# 1841270782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841270782
Entity Type Individual
Full Name MRS. CAROLYN THERESA VILLARRUBIA
Credential MD
Practice Address 1150 Devereux Dr
League City
TX 77573
Practice Telephone 2813328608
Practice Fax Number 2813325283
Mailing Telephone 2813328608
Mailing Fax Number 2813325283
Enumeration Date 2006-01-18
Last Update Date 2008-01-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
D7496 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX AMERIGROUP 10017081 01
TX BLUE CROSS BLUE SHIELD 82865G 01

Office Location

Street Address 1150 DEVEREUX DR
City LEAGUE CITY
State TX
Zip Code 77573

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861968505 Kristine M Murray Nurse Practitioner 1150 Devereux Dr, League City, TX 77573-2043 2018-10-21
1326586835 Keshil Waterland Counselor 1150 Devereux Dr, League City, TX 77573-2043 2017-02-03
1861949513 The Devereux Foundation Psychiatric Hospital 1150 Devereux Dr, League City, TX 77573-2043 2016-09-09
1992108153 The Devereux Foundation Long Term Care Hospital 1150 Devereux Dr, League City, TX 77573-2043 2014-10-02
1912311226 Amish Desai Psychiatric Residential Treatment Facility 1150 Devereux Dr, League City, TX 77573-2043 2014-06-13
1619312758 Megan M. Sharp Social Worker 1150 Devereux Dr, League City, TX 77573-2043 2013-05-02
1144576414 Theresa Diem-hang Bui Psychiatry & Neurology 1150 Devereux Dr, League City, TX 77573-2043 2012-07-24
1053567453 Tara Michelle Edmondson Counselor 1150 Devereux Dr, League City, TX 77573-2043 2008-08-18
1790944676 Davida Jo Chamberlin-elliott Counselor 1150 Devereux Dr, League City, TX 77573-2043 2008-06-05
1174781637 Robert L Scott Counselor 1150 Devereux Dr, League City, TX 77573-2043 2008-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114527306 Colin Joe Lee Pharmacist 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 2020-10-28
1033764931 Brittany Salinas Physical Medicine & Rehabilitation 2205 Colonial Court N, League City, TX 77573 2019-08-07
1366007833 Tmh Physician Associates Pllc Orthopaedic Surgery 2220 E. League City Parkway, Suite 200, League City, TX 77573 2019-05-09
1851863724 Gina Carter Durable Medical Equipment & Medical Supplies 210 S. Hwy 3, Unit B, League City, TX 77573 2018-12-17
1497226393 Daniel Max & Marcandrea LLC Optometrist 3170 Gulf Freeway South, League City, TX 77573 2018-12-17
1972071983 Chelsie N Chonoski Nurse Practitioner 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 2018-11-07
1730660564 Rebecca Ann Peth Physical Therapist 350 N Wesley Dr., Apt 1123, League City, TX 77573 2018-08-29
1912485087 Sarwat Hussain Zaffer Dentist 1620 W Fm 646, Ste D, League City, TX 77573 2018-08-01
1518468651 Clear Creek Chiropractic Center Clinic/Center 624 West Main Ste 102, League City, TX 77573 2018-02-23
1255850848 Travis William Prothro Chiropractor 1620 W. Fm 646, Suite C, League City, TX 77573 2017-09-14
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861090243 Ridgewood Psychiatry Pllc Psychiatry & Neurology 832 Ridgewood St, Brownsville, TX 78520 2020-10-16
1013525591 El Paso Healthyminds Psychiatry, Pllc Psychiatry & Neurology 509 Rosinante Rd, El Paso, TX 79922-2224 2020-07-21
1073131686 Nishan D. Adihetty Md, Pllc Psychiatry & Neurology 2219 Sawdust Rd Ste 1004, Spring, TX 77380-2580 2020-07-09
1063039535 Sun Psychiatry Pllc Psychiatry & Neurology 12217 Sitting Bull Dr, El Paso, TX 79936-7891 2020-07-01
1942839113 Fort Physicians & Professionals Pllc Psychiatry & Neurology 7140 Oakmont Boulevard, Fort Worth, TX 76132 2020-04-08
1720613532 Ferruzzi Psychiatric Services, Pllc Psychiatry & Neurology 13409 Nw Military Hwy Ste 310, Shavano Park, TX 78231-1865 2020-03-12
1184276818 Cesar Alejandro Soutullo Esperon Psychiatry & Neurology Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 2019-07-12
1881255594 Aditya Sharma, Pllc Psychiatry & Neurology 4510 Medical Center Dr Ste 208, Mckinney, TX 75069-1602 2019-06-24
1154851590 Stat Md Pllc Psychiatry & Neurology 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 2017-06-18
1336693043 Cognitive Psychiatry Pa Psychiatry & Neurology 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 2016-08-10
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Competitor

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City LEAGUE CITY
Zip Code 77573

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Dataset Information

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.

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