Active NPI
Louise R. Lopez, PSYD, PA
- Clinical Psychologist
- Fort Lauderdale, FL
National Provider Identifier
1821397886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7869
- Legal business name
- LOUISE R. LOPEZ, PSYD, PA
- Practice address
- 1760 NE 13TH St
Fort Lauderdale, FL 33304-1846 - Phone
- (561) 351-6232
- NPI assigned
- Mar 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louise R Lopez, PSY.D.
- Title
- President
- Phone
- (561) 351-6232
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7869 | FL | Primary |
Addresses
Primary practice location
1760 NE 13TH St
Fort Lauderdale, FL 33304-1846
Mailing address
1760 NE 13TH St
Fort Lauderdale, FL 33304-1846
Phone (561) 351-6232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2881 E Oakland Park Blvd
Ste 103
Ft Lauderdale, FL 33306
Phone (561) 351-6232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Fort Lauderdale, FL
- NPI 1174761787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1821397886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 NE 13TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041846",
"telephone_number": "561-351-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 NE 13TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041846",
"telephone_number": "561-351-6232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISE R. LOPEZ, PSYD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "LOUISE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-351-6232",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.