Active NPI
Arthur Lopez, BSM
- Exercise & Sports Psychologist
- Albuquerque, NM
National Provider Identifier
1124470307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exercise & Sports Psychologist
- License
- 123467
- Practice address
- 933 Bradbury Dr SE
PFS Suite 1120
Albuquerque, NM 87106-4374 - Phone
- (505) 272-7094
- NPI assigned
- Jul 12, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Exercise & Sports Psychologist | 103TE1100X | 123467 | NM | Primary |
Addresses
Primary practice location
933 Bradbury Dr SE
PFS Suite 1120
Albuquerque, NM 87106-4374
Mailing address
933 Bradbury Dr SE
PFS Suite 1120
Albuquerque, NM 87106-4374
Phone (505) 272-7094
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123467 | NM | MD | Exercise & Sports Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1124470307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 BRADBURY DR SE",
"address_2": "PFS SUITE 1120",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-7094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 BRADBURY DR SE",
"address_2": "PFS SUITE 1120",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ARTHUR",
"credential": "BSM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-12",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "NM",
"license": "123467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.