Organization Active NPI

Salvador Lopez Jr PHD PC

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1497199913
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22593 Issued in TX
Legal business name
SALVADOR LOPEZ JR PHD PC
Practice address
7201 Broadway St
Suite 218
San Antonio, TX 78209-3773
Phone
(210) 413-9779
Fax
(210) 239-6868
NPI assigned
Apr 26, 2013
Last updated
Jul 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Salvador Lopez Jr., PHDNPI 1902975444
Title
Director
Phone
(210) 413-9779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 22593 TX Primary

Addresses

Primary practice location

7201 Broadway St
Suite 218
San Antonio, TX 78209-3773

Mailing address

7201 Broadway St
Suite 218
San Antonio, TX 78209-3773
Phone (210) 413-9779

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1497199913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 BROADWAY ST",
            "address_2": "SUITE 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093773",
            "telephone_number": "210-413-9779",
            "fax_number": "210-239-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 BROADWAY ST",
            "address_2": "SUITE 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093773",
            "telephone_number": "210-413-9779",
            "fax_number": "210-239-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVADOR LOPEZ JR PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-413-9779",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.