Susana Ayala Lopez, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

28957 Issued in CA

Practice address

5955 Capistrano Ave Ste E
Atascadero, CA 93422-7227

Phone

(805) 703-5330

Fax

(805) 703-5350

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 13, 2021 through Dec 13, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Resilience Psychological Collaborative, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Atascadero, CA
  • NPI 1518435171
  NPD

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1669659512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 CAPISTRANO AVE STE E",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227227",
            "telephone_number": "805-703-5330",
            "fax_number": "805-703-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 CAPISTRANO AVE STE E",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227227",
            "telephone_number": "805-703-5330",
            "fax_number": "805-703-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SUSANA",
        "middle_name": "AYALA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "28957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Villalobos Lopez, LMFT
• Isabelle Marie Lopez
• Melissa Lopez
• Nadia Lopez
• Steven David Lopez, ASW
• Bonnie Lords
• Amy Loschiavo
• Brittany Nicole Lotsz
• Matthew Raymond Lovan
• Ciara Rita Lowth

• Psychologist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.