Elizabeth Lopez, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY11246 Issued in FL

Practice address

4161 Tamiami TRL Ste 401
Port Charlotte, FL 33952-9254

Phone

(941) 235-2710

NPI assigned

Oct 15, 2021

Last updated

Oct 15, 2021By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1992468011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 SW 6TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912153",
            "telephone_number": "786-413-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 401",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529254",
            "telephone_number": "941-235-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ELIZABETH",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Loomis, APRN
• Gloria Carolina Lopez Alvarenga, MD
• Elena Lopez Chan
• Alberto Lopez de Castro Bolufer
• Anisabel D Lopez de Castro
• Madeline Lopez
• Mario J Lopez, MD
• Lovely Physician Care Corp
• Todd Michael Lovero, O.D.
• LP Port Charlotte LLC (Signature HealthCARE of Port Charlotte)

• Psychologist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.