Individual provider Active NPI

Maria Rosana Lopez-Patton, PHD

  • Psychologist
  • Miami, FL
National Provider Identifier
1477869857
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1400 NW 10TH Ave
Suite 404a
Miami, FL 33136-1000
Phone
(305) 243-7884
Fax
(305) 243-2126
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1400 NW 10TH Ave
Suite 404a
Miami, FL 33136-1000

Mailing address

1400 NW 10TH Ave
Suite 404a
Miami, FL 33136-1000
Phone (305) 243-7884

Other names 1

  • Dr. Maria Rosana Lopez Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120222001000 FL Practitioner - Clinical Psychologist 4082872924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7401 Wiles Rd
Suite 226
Coral Springs, FL 33067-2036
Phone (786) 519-1088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patton Psychology Associates, Inc. Psychologist CurrentSince Dec 17, 2020 Accepting new patients

Locations

7401 Wiles Rd
Ste 226
Coral Springs, FL 33067

3115 NW 10th Ter
Ste 103
Oakland Park, FL 33309
Phone (786) 519-1088

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": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1477869857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 10TH AVE",
            "address_2": "SUITE 404A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361000",
            "telephone_number": "305-243-7884",
            "fax_number": "305-243-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 10TH AVE",
            "address_2": "SUITE 404A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361000",
            "telephone_number": "305-243-7884",
            "fax_number": "305-243-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-PATTON",
        "first_name": "MARIA",
        "middle_name": "ROSANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LOPEZ",
            "middle_name": "ROSANA",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.