Alejandra Lopez

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

40195 Issued in TX

Practice address

751 Hebron Pkwy Ste 310
Lewisville, TX 75057-5054

Phone

(469) 549-4200

Fax

(469) 549-4201

NPI assigned

Jun 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Neuropsychology, PLLCGroup PAC ID 2769515873, 6 clinicians

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.

• Johnson Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Lewisville, TX
  • NPI 1528396082
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1497596605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 310",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575054",
            "telephone_number": "469-549-4200",
            "fax_number": "469-549-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 310",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575054",
            "telephone_number": "469-549-4200",
            "fax_number": "469-549-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "40195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star Infectious Disease Specialist PLLC
• Lone Star Wound Care Services PLLC
• Long Term Care of Texas, Inc.
• Longevity Equipment LLC
• Sandra Longoria
• Jaime Lauren Lopez, AU.D.
• Maria Alejandra Lopez, PHD, LPCS
• Lisa Lorenz
• Ambry Loud
• Louis E. Costello, M.D., P.a.

• Clinical Neuropsychologist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.