Active NPI
Jamie Marie Lopez, LP
- Clinical Psychologist
- Round Rock, TX
National Provider Identifier
1114547023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38048
- Practice address
- 3950 N a W Grimes Blvd Ste N301A
Round Rock, TX 78665-3540 - Phone
- (512) 524-9274
- NPI assigned
- Apr 21, 2020
- Last updated
- Mar 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 38048 | TX | Primary |
Addresses
Primary practice location
3950 N a W Grimes Blvd Ste N301A
Round Rock, TX 78665-3540
Mailing address
205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (512) 686-0152
Other practice location 1
One Bear Place #97132
Waco, TX 76798-7060
Phone (254) 710-2467 ext. 25471
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamie.lopez.p1@direct.lscctx.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38048 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1114547023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E UNIVERSITY AVE STE 200",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266821",
"telephone_number": "512-686-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 N A W GRIMES BLVD STE N301A",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786653540",
"telephone_number": "512-524-9274"
}
],
"practiceLocations": [
{
"address_1": "One Bear Place #97132",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767987060",
"country_code": "US",
"telephone_number": "254-710-2467 x25471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "JAMIE",
"middle_name": "MARIE",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38048",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamie.lopez.p1@direct.lscctx.nextgenshare.com",
"affiliation": "N",
"address_1": "3950 N A W Grimes Blvd Ste N301A",
"city": "Round Rock",
"state": "TX",
"country_code": "US",
"postal_code": "786653540",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.