Alfonso Lopez-Cardona, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

0101225784 Issued in VA

Practice address

1101 Professional Drive Ste C
Williamsburg, VA 23185

Phone

(757) 645-3795

Fax

(757) 645-3796

NPI assigned

Jul 5, 2006

Sex

Male

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 VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Neuropsychiatry

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Colonial Behavioral HealthGroup PAC ID 7012010549, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/

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.

• Colonial Behavioral Health

  • Community/Behavioral Health Agency
  • Williamsburg, VA
  • NPI 1760565915
  Medicare reassignment Care Compare group NPD
• Williamsburg Psychiatry and Counseling Services LLC

  • Health Service Clinic/Center
  • Williamsburg, VA
  • NPI 1205120573
  Medicare reassignment NPD Authorized official
• Colonial Behavioral Health

  • Health Maintenance Organization
  • Williamsburg, VA
  • NPI 1841556776
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1649201328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL DR # DRIVEC",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853301",
            "telephone_number": "757-645-3795",
            "fax_number": "757-645-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL DRIVE STE C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-645-3795",
            "fax_number": "757-645-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-CARDONA",
        "first_name": "ALFONSO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101225784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Long
• John D Long, MD
• Leana S. Long, MD
• Susan M Lontkowski, M.D.
• Alejandra Elizabeth Loper
• Matthew R Lord, LPC-R
• Lotus Counseling Services PLLC
• Kristin Knight Louis, RD, LD
• Love and Harmony Homes LLC.
• Love Association Incorporated

• Child & Adolescent Psychiatry Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.