Jamie Leigh Haseley Lopez, PHD HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4338 Issued in NC

Practice address

1528 Smoky Park Hwy
Candler, NC 28715-9341

Phone

(415) 572-6450

Fax

(408) 890-4632

NPI assigned

Aug 21, 2007

Last updated

Nov 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamie L. Haseley Lopez

  • Psychologist
  • Asheville, NC
  • NPI 1548622574
  NPD (past) Authorized official
• Indiana University Health, Inc

  • Cardiovascular Disease Physician
  • Indianapolis, IN
  • NPI 1376586719
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1164615456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 SMOKY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159341",
            "telephone_number": "415-572-6450",
            "fax_number": "408-890-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 SMOKY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159341",
            "telephone_number": "415-572-6450",
            "fax_number": "408-890-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASELEY LOPEZ",
        "first_name": "JAMIE",
        "middle_name": "LEIGH",
        "credential": "PHD HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042197A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4338",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20042197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200903840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn L Haney, PT, DPT
• Hannah Minick Therapeutic Services
• Brad Wayne Harding, P.T.
• Tanya Harding
• Joshua David Hare, DPT
• Heading in the Right Direction
• Hearthstone Healthcare
• Kyle G Hershberger, DPT
• Jerald Thomas Higgs, LCSWA
• Martha Christine Hill, RPH

• Psychologist in Candler, NC
• Providers in Candler, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.