Organization Active NPI

Martita a. Lopez, PH.D., PLLC

  • Community/Behavioral Health Agency
  • Austin, TX
National Provider Identifier
1104323799
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
32017 Issued in TX
Legal business name
MARTITA A. LOPEZ, PH.D., PLLC
Practice address
711 W 38TH St BLDG F-2
Austin, TX 78705-1121
Phone
(512) 497-8018
Fax
(512) 471-6572
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Dr. Martita A Lopez, PHD
Title
Clinical Psychologist
Phone
(512) 497-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 32017 TX Primary

Addresses

Primary practice location

711 W 38TH St BLDG F-2
Austin, TX 78705-1121

Mailing address

5904 Spartan CV
Austin, TX 78759-6254
Phone (512) 497-8018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1104323799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 SPARTAN CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596254",
            "telephone_number": "512-497-8018",
            "fax_number": "512-471-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST BLDG F-2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-497-8018",
            "fax_number": "512-471-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTITA A. LOPEZ, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARTITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "512-497-8018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "32017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.