JACQUELINE MARIE VILLALOBOS GARRETT
NPI 1215551841
Psychologist - Exercise & Sports in Henderson, NV
- Individual
- Female
- Psychologist
- Exercise & Sports
About JACQUELINE VILLALOBOS GARRETT
This page provides the complete NPI Profile along with additional information for Jacqueline Villalobos Garrett, a provider established in Henderson, Nevada with a medical specialization in Psychologist, focusing in exercise & sports . The healthcare provider is registered in the NPI registry with number 1215551841 assigned on May 2020. The practitioner's primary taxonomy code is 103TE1100X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1215551841 Verify this NPI
- Provider Name
- JACQUELINE MARIE VILLALOBOS GARRETT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1404 BLAINE RANCH ST HENDERSON, NV 89012
- Location Phone
- (512) 769-6995
- Mailing Address
- 1515 E TROPICANA AVE LAS VEGAS, NV 89119
- Mailing Phone
- (512) 769-6995
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-29-2020
- Last Update Date
- 04-07-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Exercise & Sports
- Taxonomy Code
- 103TE1100X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
| 3 | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215551841, enumerated as an "individual" on May 29, 2020.
The provider is located at 1404 BLAINE RANCH ST HENDERSON, NV 89012 and the phone number is (512) 769-6995.
Psychologist with taxonomy code 103TE1100X and a focus in Exercise & Sports.
