Individual provider Active NPI

Joan M. Lopez

  • Counseling Psychologist
  • San Juan, PR
National Provider Identifier
1689806085
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1960 Issued in PR
Practice address
416 Ponce de Leon Ave.
Union Plaza BLDG. Suite 1511
San Juan, PR 00918-3423
Phone
(787) 630-7283
NPI assigned
Aug 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1960 PR Primary

Addresses

Primary practice location

416 Ponce de Leon Ave.
Union Plaza BLDG. Suite 1511
San Juan, PR 00918-3423

Mailing address

Parque de Arcoiris Num.227
2ND. St. Apt.119
Trujillo Alto, PR 00976-2853
Phone (787) 627-1773

Other names 1

  • Joan M. Lopez Professional name

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

State licenses

LicenseStateTypeSpecialty
1960PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1689806085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARQUE DE ARCOIRIS NUM.227",
            "address_2": "2ND. ST. APT.119",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762853",
            "telephone_number": "787-627-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PONCE DE LEON AVE.",
            "address_2": "UNION PLAZA BLDG. SUITE 1511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183423",
            "telephone_number": "787-630-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOAN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "1960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "LOPEZ",
            "middle_name": "M.",
            "credential": "PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.