Active NPI
Jessica Lopez, PSYD
- Clinical Psychologist
- Hatillo, PR
National Provider Identifier
1669949269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5356
- Practice address
- Carr 134 KM 6.9 Int Berrocal Bo Bayaney
Hatillo, PR 00659 - Phone
- (787) 377-3958
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5356 | PR | Primary |
Addresses
Primary practice location
Carr 134 KM 6.9 Int Berrocal Bo Bayaney
Hatillo, PR 00659
Mailing address
HC 03 Box 33806
Hatillo, PR 00659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1669949269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 03 BOX 33806",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 134 KM 6.9 INT BERROCAL BO BAYANEY",
"city": "HATILLO",
"state": "PR",
"postal_code": "00659",
"telephone_number": "787-377-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.