Active NPI
Sullyann Krystal Lopez, PHD
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1831009877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9242
- Practice address
- 2610 Calle Mayor Ste 1
Ponce, PR 00717-2051 - Phone
- (787) 514-7799
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9242 | PR | Primary |
Addresses
Primary practice location
2610 Calle Mayor Ste 1
Ponce, PR 00717-2051
Mailing address
2610 Calle Mayor Ste 1
Ponce, PR 00717-2051
Phone (787) 514-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1831009877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 CALLE MAYOR STE 1",
"city": "PONCE",
"state": "PR",
"postal_code": "007172051",
"telephone_number": "787-514-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 CALLE MAYOR STE 1",
"city": "PONCE",
"state": "PR",
"postal_code": "007172051",
"telephone_number": "787-514-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SULLYANN",
"middle_name": "KRYSTAL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "9242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.