Individual provider · Type 1 NPI

Jonathan Villicana, PSYD

Clinical Psychologist · Los Angeles, CA

NPI number 1891430245 Active

Practice location

1625 Schrader Blvd
Los Angeles, CA 90028-6213

Mailing address

PO Box 5768
Oxnard, CA 93031-5768

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Health Psychologist 103TH0004XNone listed
Clinical Psychologist Primary 103TC0700X34428 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1891430245

Jonathan Villicana, PSYD's National Provider Identifier is 1891430245, issued on Apr 30, 2022. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 1, 2024.