Active NPI
Robert Francis Lopez, PH.D.
- Clinical Psychologist
- Flushing, NY
National Provider Identifier
1629384466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015844
- Practice address
- 14601 45TH Ave
310
Flushing, NY 11355-2200 - Phone
- (718) 670-5083
- Fax
- (718) 670-4571
- NPI assigned
- Aug 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015844 | NY | Primary |
Addresses
Primary practice location
14601 45TH Ave
310
Flushing, NY 11355-2200
Mailing address
14601 45TH Ave
310
Flushing, NY 11355-2200
Phone (718) 670-5083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103T000000X | Other | NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015844 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1629384466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14601 45TH AVE",
"address_2": "310",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552200",
"telephone_number": "718-670-5083",
"fax_number": "718-670-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14601 45TH AVE",
"address_2": "310",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552200",
"telephone_number": "718-670-5083",
"fax_number": "718-670-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ROBERT",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "103T000000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.