=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992507156
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INFLECTION MENTAL HEALTH AND CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2025
-----------------------------------------------------
Last Update Date | 03/26/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1230 S PARKER RD STE 114
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80231-2119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-630-9115
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1230 S PARKER RD STE 114
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80231-2119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-630-9115
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR/OWNER
-----------------------------------------------------
Name | EDGAR JAVIER VILLARREAL
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 956-324-9335
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------