Individual provider Active NPI

Teresa Lopez-Castro, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1700205606
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020336-1 Issued in NY
Practice address
834 Lincoln PL
Brooklyn, NY 11216-4302
Phone
(917) 627-8895
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 020336-1 NY Primary

Addresses

Primary practice location

834 Lincoln PL
Brooklyn, NY 11216-4302

Mailing address

834 Lincoln PL
Brooklyn, NY 11216-4302
Phone (917) 627-8895

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
020336-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1700205606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 LINCOLN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164302",
            "telephone_number": "917-627-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 LINCOLN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164302",
            "telephone_number": "917-627-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-CASTRO",
        "first_name": "TERESA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020336-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.