DR. DIVINA THEODOSIA VILLANUEVA PSYD
NPI 1154649390
Psychologist - Clinical in San Luis Obispo, CA

Q: What is Divina Villanueva's NPI number?

The NPI number for Divina Villanueva is 1154649390. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Q: What is Divina Villanueva's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Divina Villanueva was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 12, 2010

CALIFORNIA MENS COLONY COLONY DR, SAN LUIS OBISPO, CA 93409(805) 547-7900 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 15, 2025, Aug 24, 2023, Jul 19, 2022 and 1 more (4 updates tracked since 2018).

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About Dr. Divina Theodosia Villanueva Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIVINA THEODOSIA VILLANUEVA PSYD (NPI 1154649390) is an individual clinical provider in San Luis Obispo, California, licensed in California (PSY30361) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1154649390

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DIVINA THEODOSIA VILLANUEVACredential: PSYD

Location AddressCALIFORNIA MENS COLONY COLONY DRSan Luis Obispo, CA 93409-1953

Mailing AddressPo Box 155Morro Bay, CA 93443-0155 · (775) 722-2969

Phone(805) 547-7900

Sole ProprietorYes

Enumeration DateMay 12, 2010

Last NPPES UpdateMay 15, 20254 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1154649390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY30361

Definition

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

CALIFORNIA MENS COLONY COLONY DR, San Luis Obispo, CA 93409

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divina Villanueva's NPI number?

The NPI number for Divina Villanueva is 1154649390. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Divina Villanueva located?

Divina Villanueva practices at California Mens Colony Colony Dr, San Luis Obispo, CA 93409. The listed phone number is (805) 547-7900.

What is Divina Villanueva's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Divina Villanueva was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.