Jonalys Lopez Miranda, MSSP, PSYD

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

20044079A Issued in IN

Practice address

2100 N Main St # 304
Crown Point, IN 46307-1877

Phone

(888) 837-5440

Fax

(574) 546-1999

NPI assigned

May 18, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1649109299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST # 304",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071877",
            "telephone_number": "888-837-5440",
            "fax_number": "574-546-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST # 304",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071877",
            "telephone_number": "888-837-5440",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MIRANDA",
        "first_name": "JONALYS",
        "credential": "MSSP, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IN",
            "license": "20044079A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Dore Locks, DO
• Lolita LLC
• Darrell London, RBT
• Paden Long, RPH
• Candice Marie Lopacki, COTA/L
• Jonathan Lopez Sanchez, PTAIN
• Renee Charlotte Lopiccola, RPH
• Elzora Gelisa Lottie
• Emily Loudermilk, RBT
• Lourdes Lorino, O.D. (Specialty EyeCare Center)

• Student Health Clinic/Center in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Student Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.