Ana Leticia Gontijo Lopes, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 8684 Issued in FL

Practice address

13430 Parker Commons Blvd
101
Fort Myers, FL 33912-1812

Phone

(239) 561-9955

NPI assigned

Feb 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 12, 2018 through Feb 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Associates in Family Psychology

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1275712911
  NPD (past)
• Pooja Shastri, Psy.D., P.a.

  • Clinical Psychologist
  • Fort Myers, FL
  • NPI 1891334157
  NPD (past)

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

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1922248160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 SW 162ND TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573683",
            "telephone_number": "305-510-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 PARKER COMMONS BLVD",
            "address_2": "101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121812",
            "telephone_number": "239-561-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPES",
        "first_name": "ANA LETICIA",
        "middle_name": "GONTIJO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-28",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Longobardi, M.D.
• Sara Marie Lonidier, RN
• Alaina Loomis, LMHC
• Michelle Marie Loomis, NP
• Juan Pablo Loor Tuarez, M.D.
• Anyeley Lopez Lopez, DMD
• Arianet Lopez Molina, RBT-23-300968
• Dulce M Lopez Obregon, DPT, ACSM CPT
• Annelis Lopez Perez
• Danaya Lopez Perez

• Clinical Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.