Active NPI
Miriam Sugei Rivera Lopez
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1212542
- Practice address
- 2020 Babcock Rd Ste 19
San Antonio, TX 78229-4437 - Phone
- (210) 761-9001
- NPI assigned
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1212542 | TX | Primary |
Addresses
Primary practice location
2020 Babcock Rd Ste 19
San Antonio, TX 78229-4437
Mailing address
250 W Lancaster Ave Apt 1523
Fort Worth, TX 76102-6361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4635 Southwest Fwy
Suite 635
Houston, TX 77027-7112
Phone 71385000491053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1212542 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Psychcare of Dallas I, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335
7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734
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.
-
- Psychiatry Physician
- Houston, TX
- NPI 1942596903
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1851266993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W LANCASTER AVE APT 1523",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761026361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 BABCOCK RD STE 19",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294437",
"telephone_number": "210-761-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA LOPEZ",
"first_name": "MIRIAM",
"middle_name": "SUGEI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-08",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1212542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.