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DR. COURTNEY VILLERE PH.D.
NPI 1306203625
Psychologist - Clinical Child & Adolescent in Philadelphia, PA

Active since January 17, 2016Opted out of Medicare · through Jul 1, 2028
3535 MARKET ST, SUITE 600N, PHILADELPHIA, PA 19104(215) 746-3784 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Courtney Villere Ph.d. NPPES

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

DR. COURTNEY VILLERE PH.D. (NPI 1306203625) is an individual clinical child & adolescent provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS017774) and active in the NPI registry since January 2016. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306203625
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. COURTNEY VILLERECredential: PH.D.
Location Address3535 MARKET ST, SUITE 600NPhiladelphia, PA 19104-3309
Mailing Address1518 James Rd Ste 600nWynnewood, PA 19096-2515 · (617) 935-6604
Phone(215) 746-3784
Sole ProprietorNo
Enumeration DateJanuary 17, 2016
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1306203625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in PA · PS017774
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
3535 MARKET ST, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Courtney Villere Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN ELLEN KEARNEY ARNP
Nurse Practitioner (Family)
3535 MARKET ST, SUITE 100
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-3535
DR. TIMOTHY OVERTON
Psychologist (Clinical)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 898-4163
JACQUES P BARBER PHD
Psychologist (Clinical)
3535 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
GIULIETTA ROSE FLAHERTY PSYD
Psychologist (Clinical)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701
MS. MARIAN VANLANDINGHAM MOSELEY LCSW
Social Worker (Clinical)
3535 MARKET ST, 2ND FL
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7216
ELENE TURZO CRNP
Nurse Practitioner (Obstetrics & Gynecology)
3535 MARKET ST, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
KATHERINE MCGETTIGAN INGRAM CRNP
Nurse Practitioner (Psychiatric/Mental Health)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (866) 301-4724
MELISSA WALSH CRNP
Nurse Practitioner (Psychiatric/Mental Health)
3535 MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6701

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 Courtney Villere's NPI number?

The NPI number for Courtney Villere is 1306203625. It was assigned to this individual provider in the NPPES registry on January 17, 2016.

Where is Courtney Villere located?

Courtney Villere practices at 3535 Market St Suite 600N, Philadelphia, PA 19104. The listed phone number is (215) 746-3784.

What is Courtney Villere's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Courtney Villere enrolled in Medicare?

No. Courtney Villere has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Courtney Villere was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.