Individual provider Active NPI

Abraham Jose Lopez, PH.D.

  • Clinical Neuropsychologist
  • El Paso, TX
National Provider Identifier
1548747728
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
37915 Issued in TX
Practice address
5400 Alameda Ave BLDG B
El Paso, TX 79905-2914
Phone
(915) 242-8402
NPI assigned
Jul 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 37915 TX Primary

Addresses

Primary practice location

5400 Alameda Ave BLDG B
El Paso, TX 79905-2914

Mailing address

5400 Alameda Ave BLDG B
El Paso, TX 79905-2914
Phone (915) 242-8402

Other practice location 1

1314 E. Sonterra Blvd
Suite 2208
San Antonio, TX 78258
Phone (210) 858-1900 ext. 303

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181011000813 TX Practitioner - Clinical Psychologist 2961754478 Reassigns benefits to 2 organizations
Practice locations: El Paso, TX; San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larlo Behavioral Services PLLCGroup PAC ID 6608262720, 2 clinicians

Practice addresses (Care Compare)

444 Executive Ctr Blvd
Suite 126
El Paso, TX 79902-1060
Phone (915) 266-9797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37915TXMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Children'S Physician Group CurrentSince Mar 10, 2024 Accepting new patients
El Paso Children'S Hospital Corporation PastSince Mar 10, 2024 Accepting new patients

Locations

5340 El Paso Dr
Ste L
El Paso, TX 79905
Phone (915) 242-8402

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

5400 Alameda Ave
Bldg B
El Paso, TX 79905
Phone (915) 242-8402

1400 N El Paso St
Ste C
El Paso, TX 79902
Phone (915) 242-8600

Organizations & group practices 3

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1548747728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 ALAMEDA AVE BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052914",
            "telephone_number": "915-242-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 ALAMEDA AVE BLDG B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052914",
            "telephone_number": "915-242-8402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 E. Sonterra Blvd",
            "address_2": "Suite 2208",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78258",
            "country_code": "US",
            "telephone_number": "210-858-1900 x303",
            "fax_number": "210-745-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ABRAHAM",
        "middle_name": "JOSE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "37915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.