Individual provider Active NPI

Alejandro Montalvan Lopez, PHD

  • Psychologist
  • Tampa, FL
National Provider Identifier
1134092232
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2544 Wild Hollyhock Dr Apt 3414
Tampa, FL 33619-6879
Phone
(787) 504-8542
NPI assigned
Sep 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X FL Primary

Addresses

Primary practice location

2544 Wild Hollyhock Dr Apt 3414
Tampa, FL 33619-6879

Mailing address

2544 Wild Hollyhock Dr Apt 3414
Tampa, FL 33619-6879
Phone (787) 504-8542

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1134092232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 WILD HOLLYHOCK DR APT 3414",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196879",
            "telephone_number": "787-504-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 WILD HOLLYHOCK DR APT 3414",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196879",
            "telephone_number": "787-504-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVAN LOPEZ",
        "first_name": "ALEJANDRO",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.