Evelyn C Lopez, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NR19243700 Issued in NJ

Practice address

96 Pompton Ave Ste 101
Verona, NJ 07044-2950

Phone

(862) 292-2001

Fax

(833) 606-0228

NPI assigned

Jul 18, 2023

Sex

Female

Sole proprietor

Yes

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 NJ, WA, MA, IL4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eleanor Health Professional Ma, PLLCGroup PAC ID 7416360946, 12 clinicians

Eleanor Health Professional NJ, LLCGroup PAC ID 3779904602, 15 clinicians

Eleanor Health Professional Wa PLLCGroup PAC ID 2365855210, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: evelyn.lopez.1@21505.direct.athenahealth.com

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.

• Eleanor Health Professional Ma, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brockton, MA
  • NPI 1205446374
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional Wa, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Everett, WA
  • NPI 1043827132
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional NJ, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cherry Hill, NJ
  • NPI 1790310738
  Medicare reassignment Care Compare group
• Eleanor Health Professional TX, PLLC

  • Psychiatry Physician
  • Lombard, IL
  • NPI 1831900190
  Medicare reassignment NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Psychiatry Physician
  • Denver, CO
  • NPI 1891583480
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1508546383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 CRESCENT ST STE 202",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024533425",
            "telephone_number": "781-487-1107",
            "fax_number": "919-765-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 POMPTON AVE STE 101",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442950",
            "telephone_number": "862-292-2001",
            "fax_number": "833-606-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EVELYN",
        "middle_name": "C",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR19243700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lewcyk, DMD
• Camille Marie Licata, NP
• Mark B. Liebert, PT, PHD
• Carol Lipsitch, M.D.
• Edmund S. Liu, M.D.
• Paul J Loverme, M.D.
• Elizabeth M Mac Ewen, LCSW
• Danielle Ashton Madurski, APRN
• Magnolia Podiatry LLC
• Tanvi Maharaja, PT DPT OCS

• Psychiatric/Mental Health Nurse Practitioner in Verona, NJ
• Providers in Verona, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.