Priscilla C Lopez, MASTER CASAC #34980

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

211110743 Issued in NY

Practice address

3584 Jerome Ave
Bronx, NY 10467-1006

Phone

(653) 153-7718

Fax

(699) 371-8228

NPI assigned

Dec 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1366080087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAINT NICHOLAS AVE APT 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262147",
            "telephone_number": "646-270-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671006",
            "telephone_number": "653-153-7718",
            "fax_number": "699-371-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "PRISCILLA",
        "middle_name": "C",
        "credential": "MASTER CASAC #34980",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "211110743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lopez
• Natasha Lopez, RN
• Nayelis Estivalis Lopez
• Nayrobi G Lopez
• Nilza Lopez, LMSW
• Robert Lopez, M.D.
• Rosemary Zelina Lopez, RDN
• Sara Lopez
• Sebastian Lopez, M.D
• Stephanie Lua Lopez, LMSW

• Addiction (Substance Use Disorder) Counselor in Bronx, NY
• Providers in Bronx, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.