Active NPI
Wendy Lopez-Lizarraga, PSY.D.
- Psychoanalyst
- San Bernardino, CA
National Provider Identifier
1124483474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- PSY9402603
- Practice address
- 686 E Mill St
San Bernardino, CA 92415-0647 - Phone
- (909) 798-8589
- NPI assigned
- Dec 30, 2015
- Reactivated
- Nov 13, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Psychoanalyst | 102L00000X | PSY9402603 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
686 E Mill St
San Bernardino, CA 92415-0647
Mailing address
686 E Mill St
San Bernardino, CA 92415-0647
Phone (909) 798-8589
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1124483474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 E MILL ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150647",
"telephone_number": "909-798-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 E MILL ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150647",
"telephone_number": "909-798-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-LIZARRAGA",
"first_name": "WENDY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"deactivation_date": "2019-11-01",
"reactivation_date": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "PSY9402603",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.