Individual provider Active NPI

Regina Rosa Lopez, M.D.

  • Child & Adolescent Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1720288095
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
036-118158 Issued in IL
Practice address
1 E Erie St
Suite 355
Chicago, IL 60611-2740
Phone
(773) 620-1026
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 036-118158 IL Primary

Addresses

Primary practice location

1 E Erie St
Suite 355
Chicago, IL 60611-2740

Mailing address

1 E Erie St Ste 355
Chicago, IL 60611-2772
Phone (773) 620-1026

Other practice location 1

6603 Royal Ct
Parkville, MO 64152-6088
Phone (616) 336-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191206002445 MI Practitioner - Psychiatry 1850448804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Missouri, Kansas City, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lenawee Community Mental Health AuthorityGroup PAC ID 7214828177, 8 clinicians

Practice addresses (Care Compare)

1200 N Main St
Adrian, MI 49221-1759
Phone (517) 263-8905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-118158ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copper Country Community Mental Health Services CurrentSince Sep 12, 2022 Accepting new patients
Copper Country Community Mental Health Services CurrentSince Sep 12, 2022 Accepting new patients
Lenawee Community Mental Health Authority CurrentSince Nov 18, 2019 Accepting new patients
Lenawee Community Mental Health Authority Past Accepting new patients

Locations

1040 S Winter St
Ste 1022
Adrian, MI 49221
Phone (517) 263-8905

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1720288095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 355",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112772",
            "telephone_number": "773-620-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST",
            "address_2": "SUITE 355",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112740",
            "telephone_number": "773-620-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6603 Royal Ct",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MO",
            "postal_code": "641526088",
            "country_code": "US",
            "telephone_number": "616-336-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "REGINA",
        "middle_name": "ROSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036-118158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.