Jose Carlos Lopez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME55324 Issued in FL

Practice address

654 NE 9TH PL
Homestead, FL 33030-4934

Phone

(305) 248-3488

Fax

(305) 248-6558

NPI assigned

Feb 15, 2007

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Psychiatry

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bienestar Health CenterGroup PAC ID 0143768598, 3 clinicians

1St Jpa Behavior Management Clinic IncGroup PAC ID 1759695745, 2 clinicians

My Angel Therapy's Corp.Group PAC ID 9537694096, 4 clinicians

Homestead Behavioral Clinic, IncGroup PAC ID 4082507249, 10 clinicians

Best Choice Treatment and Medical Center IncGroup PAC ID 2860884756, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HealthSun Health Plans Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1St Jpa Behavior Management Clinic Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cutler Bay, FL
  • NPI 1972903524
  Medicare reassignment Care Compare group NPD
• Homestead Behavioral Clinic, Inc.

  • Community/Behavioral Health Agency
  • Homestead, FL
  • NPI 1285662841
  Medicare reassignment Care Compare group NPD
• My Angel Therapy's Corp.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
  • NPI 1205664729
  Medicare reassignment Care Compare group NPD
• Best Choice Treatment & Medical Center Inc

  • Physical Therapy Clinic/Center
  • Miami, FL
  • NPI 1306517792
  Medicare reassignment Care Compare group
• Bienestar Health Center LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1497516835
  Medicare reassignment Care Compare group
• Life Care Behavioral Management Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1013397298
  Medicare reassignment NPD
• Ocean Health System LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1972216778
  Medicare reassignment NPD
• Professional Care Center LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1538891270
  Medicare reassignment NPD
• Related Medical Group Inc

  • Psychiatry Physician
  • Homestead, FL
  • NPI 1619634136
  Medicare reassignment NPD
• Florida Medical Center Group, Inc.

  • Adolescent Medicine (Family Medicine) Physician
  • Miami, FL
  • NPI 1396002929
  Medicare reassignment
• JL Psych Services PA

  • Psychiatry Physician
  • Miami, FL
  • NPI 1144896077
  NPD
• Angels at Work Foundation Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1518596097
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1669515730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13168 SW 188TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773002",
            "telephone_number": "305-609-7649",
            "fax_number": "305-248-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 NE 9TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304934",
            "telephone_number": "305-248-3488",
            "fax_number": "305-248-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5185 SW 165th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331855163",
            "country_code": "US",
            "telephone_number": "305-207-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME55324",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME55324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015064400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTH DEPARTMENT",
            "identifier": "ME55324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Lopez
• Georgina Victoria Lopez
• Henry Lopez
• Jennifer Marie Lopez
• Jorge M Lopez
• Josue Lopez
• Lisa Maria Lopez
• Malu Lopez
• Marjorie Lopez
• Marta Ester Lopez

• Psychiatry Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.