Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael R Villanueva, PSYD

Individual provider Clinical Neuropsychologist · NPI 1063522860

Dr. Michael R Villanueva, PSYD is a Clinical Psychologist in Medford, Oregon. Qualified in 1990, 36 years ago. Practices with Southern Oregon Neuropsychological Clinic LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
36
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

837 Alder Creek Dr
Medford, OR 97504-8911
Phone: (541) 608-3878
Fax: (541) 608-3880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 0974 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0974 (OR)

Record details

NPI number1063522860
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 22, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Southern Oregon Neuropsychological Clinic Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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