Organization Active NPI

Michelle Lopez PHD Psychology Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1689130155
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MICHELLE LOPEZ PHD PSYCHOLOGY INC
Practice address
16959 Bernardo Center Dr Ste 200
San Diego, CA 92128-2555
Phone
(619) 800-1566
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Dr. Michelle Lopez, PHDNPI 1982060729
Title
Clinical Psychologist
Phone
(619) 800-1566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

16959 Bernardo Center Dr Ste 200
San Diego, CA 92128-2555

Mailing address

16959 Bernardo Center Dr Ste 200
San Diego, CA 92128-2555
Phone (619) 800-1566

Other names 1

  • Michelle Lopez Doing business as

National Provider Directory

National Provider Directory

Locations

16959 Bernardo Center Dr
Ste 200
San Diego, CA 92128
Phone (619) 784-6703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1689130155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16959 BERNARDO CENTER DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282555",
            "telephone_number": "619-800-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16959 BERNARDO CENTER DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282555",
            "telephone_number": "619-800-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE LOPEZ PHD PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-800-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Lopez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.