Individual provider Active NPI

Steven G Lopez, MD

  • Psychiatry Physician
  • N Charleston, SC
National Provider Identifier
1356459218
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20247 Issued in SC
Practice address
4500 Leeds Ave
Ste. 219
N Charleston, SC 29405-8520
Phone
(843) 745-5178
Fax
(843) 745-5115
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20247 SC Primary

Addresses

Primary practice location

4500 Leeds Ave
Ste. 219
N Charleston, SC 29405-8520

Mailing address

2777 Speissegger Dr
Charleston, SC 29405-8229
Phone (843) 747-5830

Other identifiers 2

IdentifierTypeStateIssuer
202471MedicaidSC
P01078713OtherSCMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000070 SC Practitioner - Psychiatry 8820099658 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
East Tennessee State University Quillen College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Carolina Health Systems PAGroup PAC ID 7214084870, 6 clinicians

Practice addresses (Care Compare)

1483 Tobias Gadson Blvd
Suite 201
Charleston, SC 29407-4796
Phone (843) 745-5153

2777 Speissegger Dr
Charleston, SC 29405-8229
Phone (843) 747-5830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Behavioral Health Solutions, LLC CurrentSince Jan 1, 2006 Accepting new patients
Steven Lopez Psychiatric Services Psychiatry CurrentSince Nov 1, 2016 Accepting new patients
Lowcountry Wellness Center LLC CurrentSince Sep 10, 2017 Accepting new patients
Myndspace Mental Health Education & Consulting, LLC CurrentSince Apr 1, 2022 Accepting new patients
Compass Carolina Health Systems PA Psychiatry CurrentSince Sep 6, 2009 Accepting new patients

Locations

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

4 Carriage Ln
Ste 200
Charleston, SC 29407
Phone (843) 266-7573

1483 Tobias Gadson Blvd
Ste 201
Charleston, SC 29407
Phone (843) 745-5153

2777 Speissegger Dr
North Charleston, SC 29405
Phone (843) 266-7080

4500 Leeds Ave
Ste 219
North Charleston, SC 29405
Phone (843) 745-5178

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: steven.lopez@chs1.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1356459218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 SPEISSEGGER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058229",
            "telephone_number": "843-747-5830",
            "fax_number": "843-745-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 LEEDS AVE",
            "address_2": "STE. 219",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058520",
            "telephone_number": "843-745-5178",
            "fax_number": "843-745-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "20247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202471",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01078713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.