Individual provider Active NPI

Arlene Lopez, PSYD

  • Psychologist
  • Hallandale Beach, FL
National Provider Identifier
1669197323
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11038 Issued in FL
Practice address
800 SE 4TH Ave Ste 816B
Hallandale Beach, FL 33009-6498
Phone
(305) 697-8997
Fax
(305) 517-5377
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY11038 FL Primary

Addresses

Primary practice location

800 SE 4TH Ave Ste 816B
Hallandale Beach, FL 33009-6498

Mailing address

2391 NW 96TH Ter Apt 19C
Pembroke Pines, FL 33024-3045
Phone (954) 482-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY11038FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Jan 3, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Jan 3, 2023 Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 2

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1669197323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 NW 96TH TER APT 19C",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243045",
            "telephone_number": "954-482-2113",
            "fax_number": "305-517-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE 4TH AVE STE 816B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096498",
            "telephone_number": "305-697-8997",
            "fax_number": "305-517-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ARLENE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.