Individual provider Active NPI

Hilda M Lopez, P.H.D

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1073545372
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4869 Issued in FL
Practice address
1923 SW 8TH St
Miami, FL 33135-3315
Phone
(786) 389-0432
Fax
(305) 456-3886
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY4869 FL Primary
Psychologist 103T00000X PY4869 FL

Addresses

Primary practice location

1923 SW 8TH St
Miami, FL 33135-3315

Mailing address

6269 SW 33Rd St
Miami, FL 33155-4908
Phone (786) 389-0432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4869FLMDAddiction (Substance Use Disorder) Counselor
PY4869FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Psychcenter LLC Past Accepting new patients
Face to Face Mental Health Services, LLC Psychologist Past Accepting new patients
Optimal Living Resources Inc Clinical PastSince Jun 26, 2009 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1073545372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6269 SW 33RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554908",
            "telephone_number": "786-389-0432",
            "fax_number": "305-456-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353315",
            "telephone_number": "786-389-0432",
            "fax_number": "305-456-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "HILDA",
        "middle_name": "M",
        "credential": "P.H.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4869",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.