DR. JORGE OCTAVIO VILLELLA III (NPI# 1992042766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992042766 |
Entity Type | Individual |
Full Name | DR. JORGE OCTAVIO VILLELLA III |
Practice Address |
1 Trescott Path Northport NY 11768-2535 |
Practice Telephone | 6312922404 |
Mailing Telephone | 6312922404 |
Enumeration Date | 2013-01-13 |
Last Update Date | 2013-01-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
121894 | NY | Behavioral Health & Social Service Providers |
Street Address |
1 TRESCOTT PATH |
City | NORTHPORT |
State | NY |
Zip Code | 11768-2535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
Find all providers in zip 11768 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285199265 | Mechelle Louise Frazier | Counselor | 650 Energy Center Blvd Ste 1702, Northport, AL 35473-5802 | 2019-02-04 |
1063904175 | Sonya W Guy | Counselor | 13886 Grand Pointe Blvd, Northport, AL 35475-4381 | 2018-06-04 |
1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
1588066948 | Anna Orr Marshall | Counselor | 1331 Martin Rd E, Northport, AL 35473-7246 | 2014-09-17 |
1164868766 | Teresa B. Taylor | Counselor | 720 Energy Center Blvd Ste 502, Northport, AL 35473-2794 | 2013-05-22 |
1083930804 | Tuscaloosa Counseling, LLC | Counselor | 3665 Watermelon Rd, Northport, AL 35473-5139 | 2010-04-19 |
1649456831 | Harvey A Edwards Iv | Counselor | 3665 Watermelon Road, Northport, AL 35473 | 2008-01-17 |
1639283120 | Beverly Jalon Guenther | Counselor | 720 Energy Center Blvd, Suite 502, Northport, AL 35473-5828 | 2006-08-19 |
1730107947 | John Thorington | Counselor | 5906 6th Ave, Northport, AL 35473-7437 | 2006-07-17 |
1043828858 | Ashley Marie Neuhauser | Counselor | 720 Energy Center Blvd Ste 502, Northport, AL 35473-2794 | 2020-07-17 |
Find all providers in NORTHPORT |
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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.