Carolyn Maria Lopez, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20762 Issued in CA

Practice address

35400 Bob Hope Dr
Rancho Mirage, CA 92270-1708

Phone

(950) 609-7267

Fax

(760) 328-0044

NPI assigned

Jun 9, 2006

Last updated

May 12, 2020By the provider in NPPES

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 CA

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, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.lopez.p5@direct.mydohc.nextgenshare.com
• Direct secure messaging: carolyn.lopez.p2@direct.mydohc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761
  Medicare reassignment Care Compare group NPD
• Indermohan S Luthra MD Inc a Professional Corporation

  • Specialist
  • Rancho Mirage, CA
  • NPI 1326340282
  Medicare reassignment NPD
• Inland Psychiatric Medical Group, Inc

  • Psychiatry Physician
  • Claremont, CA
  • NPI 1336463520
  NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1336977990

  Psychologist

  NPD
• Family Ministries Center

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1679622674
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1508807629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701708",
            "telephone_number": "760-328-7500",
            "fax_number": "760-328-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701708",
            "telephone_number": "950-609-7267",
            "fax_number": "760-328-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 Fort Street Mall",
            "address_2": "#209",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132712",
            "country_code": "US",
            "telephone_number": "808-341-4338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55497 Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Thermal",
            "state": "CA",
            "postal_code": "922749412",
            "country_code": "US",
            "telephone_number": "760-399-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CAROLYN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "20762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Steven Longfellow, M.D.
• Giovanni Antonio Longo
• Longs Drug Stores California LLC (CVS Pharmacy #09153)
• Lopez Anesthesia Services a Medical Corporation
• Carlos A Lopez, M.D.,M.P.H.
• Jamie Lynn Lopez, BEHAVIOR THERAPIST
• Lilia Elizabeth Lopez, FNP-BC
• Nathan Lopez, PTA
• Nellie Lopez
• Sergio A Lopez

• Psychologist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.