Individual provider Active NPI

Rebecca M Lopez, PSYCHOLOGIST

  • Clinical Child & Adolescent Psychologist
  • Caguas, PR
National Provider Identifier
1467622795
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2996 Issued in PR
Practice address
M31 Calle 13
Condado Moderno
Caguas, PR 00725-2443
Phone
(787) 703-4050
Fax
(787) 703-4115
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 2996 PR Primary

Addresses

Primary practice location

M31 Calle 13
Condado Moderno
Caguas, PR 00725-2443

Mailing address

1300 Calle 7 # 1300
Box 119
San Juan, PR 00924-4579
Phone (787) 246-6524

Other names 1

  • Miss Rebecca M Lopez Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2996PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Para El Desarrollo Personal, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1467622795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CALLE 7 # 1300",
            "address_2": "BOX 119",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244579",
            "telephone_number": "787-246-6524",
            "fax_number": "787-703-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M31 CALLE 13",
            "address_2": "CONDADO MODERNO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252443",
            "telephone_number": "787-703-4050",
            "fax_number": "787-703-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LOPEZ",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "PSYCHOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.