Active NPI
Brian Lopez, PHD BCBA
- Psychologist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0877
- Practice address
- 8500 Washington St NE
Ste A1
Albuquerque, NM 87113-1846 - Phone
- (505) 828-3837
- Fax
- (877) 828-1550
- NPI assigned
- Aug 2, 2006
- Last updated
- Oct 18, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0877 | NM | Primary |
| Behavior Analyst | 103K00000X | 1-16-22964 | NM |
Addresses
Primary practice location
8500 Washington St NE
Ste A1
Albuquerque, NM 87113-1846
Mailing address
8500 Washington St NE
Ste A1
Albuquerque, NM 87113-1846
Phone (505) 828-3837
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jumpstart, LLC | Behavior Analyst | Current | Accepting new patients |
| Jumpstart, LLC | Current | Accepting new patients |
Locations
8500 Washington St NE
Ste A1
Albuquerque, NM 87113
Phone (505) 828-2827
1817 Wellspring Ave SE
Ste D
Rio Rancho, NM 87124
Phone (505) 828-3738
Organizations & group practices 2
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.
-
dba JumpStart Autism Screening and Evaluations
- Clinical Child & Adolescent Psychologist
- Albuquerque, NM
- NPI 1477386852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1467469429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 WASHINGTON ST NE",
"address_2": "STE A1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131846",
"telephone_number": "505-828-3837",
"fax_number": "877-828-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 WASHINGTON ST NE",
"address_2": "STE A1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131846",
"telephone_number": "505-828-3837",
"fax_number": "877-828-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BRIAN",
"credential": "PHD BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "0877",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NM",
"license": "1-16-22964",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.