Magda Marques Lopez, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8397 Issued in FL

Practice address

710 Oakfield Dr Ste 223
Brandon, FL 33511-4954

Phone

(813) 419-3137

Fax

(877) 599-4198

NPI assigned

Oct 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Bright Psyche Psychological Services, LLC

  dba Bright Psyche Psychology

  • Adolescent and Children Mental Health Clinic/Center
  • Brandon, FL
  • NPI 1235552787

  Clinical Child & Adolescent

  Medicare reassignment NPD Authorized official
• Bay Area Neuropsychology, LLC

  • Psychologist
  • Tampa, FL
  • NPI 1790023851
  Medicare reassignment

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1396020913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094050",
            "telephone_number": "305-495-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OAKFIELD DR STE 223",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114954",
            "telephone_number": "813-419-3137",
            "fax_number": "877-599-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MAGDA",
        "middle_name": "MARQUES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8397",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Andrea Lopez, LMT
• Dianna Kathryn Lopez, RDN, LD/N
• Kristen Marie Lopez, APRN
• Laura Lopez, M.S., C.C.C.
• Lyda Maria Lopez, DDS
• Mary-Kathryn Lopez, M.S., M.A., LMFT
• Massiel E Lopez
• Nicole Lopez
• Peter Vincent Lopez, M.D.
• Roberto Alejandro Lopez, MD

• Psychologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.