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JACQUELINE MARIE VILLALOBOS NPI 1215551841


NPI Information

NPI: 1215551841
Provider Name: JACQUELINE MARIE VILLALOBOS
Classification: Psychologist - 103TE1100X
Entity Type: Individual

Specialization: Exercise & Sports

Address:
1404 BLAINE RANCH ST
HENDERSON, NV
ZIP 89012
Phone: (512) 769-6995
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Jacqueline Marie Villalobos is an exercise and sports psychologist in Henderson, NV. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Jacqueline Marie Villalobos NPI is 1215551841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1404 BLAINE RANCH ST
HENDERSON, NV
ZIP 89012-805
Phone: (512) 769-6995

The enumeration date for this NPI number is 5/29/2020 and was last updated on 5/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103TE1100XPsychologistExercise & SportsYes
3103TF0200XPsychologistForensicNo
4106H00000XMarriage & Family TherapistNo
5103K00000XBehavior AnalystNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.