Active NPI
Martita a. Lopez, PH.D., PLLC
- Community/Behavioral Health Agency
- Austin, TX
National Provider Identifier
1104323799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 32017
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.