MEDICARE: DR. EDGAR JAVIER VILLARREAL PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	001339	IA

General Provider Information

NPI Number	:	1396003026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDGAR JAVIER VILLARREAL PH.D

Provider Business Mailing Address
First Line	:	1230 S PARKER RD STE 114
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2119
Country	:	US
Telephone Number	:	956-324-9335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 S PARKER RD STE 114
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2119
Country	:	US
Telephone Number	:	956-324-9335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2012
Last Update Date	:	03/16/2025

Similar Medicare Providers

1922978337 — TEDROS ZERABURUK
Practice Location Address:

1230 S PARKER RD STE 219
DENVER, CO
80231-2119

Practice Phone: 510-379-8743
Practice Fax:

1295369460 — GOLDEN HOME CARE AGENCY INC
Practice Location Address:

1230 S PARKER RD STE 205
DENVER, CO
80231-2119

Practice Phone: 303-520-3500
Practice Fax:

1780207977 — SUPER HOME CARE LLC
Practice Location Address:

1230 S PARKER RD STE 217 , 1230 S PARKER RD STE 217
DENVER, CO
80231-2119

Practice Phone: 303-728-9154
Practice Fax: 303-728-9154

1164003257 — CHANGING TIMES MEDICAL TECHNOLOGY
Practice Location Address:

1230 S PARKER RD STE 208
DENVER, CO
80231-2119

Practice Phone: 720-404-0424
Practice Fax: 303-955-5963

1053071530 — SUPER HOME CARE LLC
Practice Location Address:

1230 S PARKER RD STE 217
DENVER, CO
80231-2119

Practice Phone: 303-728-9154
Practice Fax:

1437932225 — NADINA MEDICAL SUPPLY LLC
Practice Location Address:

1230 S PARKER RD STE 217
DENVER, CO
80231-2119

Practice Phone: 303-728-9154
Practice Fax: 303-728-9154

Directions to “ DR. EDGAR JAVIER VILLARREAL PH.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.