DR. JEANNIE M LOPEZ (NPI# 1568094613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568094613 |
| Entity Type | Individual |
| Full Name | DR. JEANNIE M LOPEZ |
| Other Name | DR. JEANNE-MARIE M LOPEZ |
| Credential | PHD |
| Practice Address |
700 Ygnacio Valley Rd Ste 320 Walnut Creek CA 94596-3838 |
| Practice Telephone | 9259397500 |
| Mailing Telephone | 9259397500 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 18357 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
18357 | CA | Behavioral Health & Social Service Providers |
| Street Address |
700 YGNACIO VALLEY RD STE 320 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457791006 | Ellena Fickett Chen | Psychologist | 700 Ygnacio Valley Rd Ste 320, Walnut Creek, CA 94596-3838 | 2013-06-27 |
| 1588283741 | Rupa Robbins | Psychologist | 700 Ygnacio Valley Rd Ste 320, Walnut Creek, CA 94596-3838 | 2020-04-08 |
| 1235760737 | Lisa Wolk White | Psychologist | 700 Ygnacio Valley Rd Ste 320, Walnut Creek, CA 94596-3838 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1649506288 | Sara Rice Schiff | Clinical Neuropsychologist | 1501 N Broadway Ste 403, Walnut Creek, CA 94596 | 2009-11-01 |
| 1629262555 | Ariati S Rakic | Clinical Neuropsychologist | 1399 Ygnacio Valley Rd Ste 3, Walnut Creek, CA 94598-2868 | 2007-09-04 |
| 1902029275 | Diane K. Kosters | Clinical Neuropsychologist | 43 Quail Ct Ste 213, Walnut Creek, CA 94596-8702 | 2007-04-11 |
| 1437291168 | Eric Joseph Freitag | Clinical Neuropsychologist | 1940 Tice Valley Blvd, Suite C, Walnut Creek, CA 94595-2229 | 2007-02-12 |
| 1720442965 | Keiko Yafa Miller | Clinical Neuropsychologist | 2815 Mitchell Dr Ste 119, Walnut Creek, CA 94598-1622 | 2016-04-13 |
| 1528438314 | Alana Darcie Stark | Clinical Neuropsychologist | 710 S Broadway, Walnut Creek, CA 94596-5294 | 2015-10-06 |
| 1144588484 | Mary Whitmore Schindler | Clinical Neuropsychologist | 1940 Tice Valley Blvd, Suite C, Walnut Creek, CA 94595-2229 | 2012-04-24 |
| 1851537450 | Mount Diablo Memory Center Incorporated | Clinical Neuropsychologist | 1940 Tice Valley Blvd, Suite A, Walnut Creek, CA 94595-2229 | 2009-01-02 |
| 1578789780 | Howard J. Friedman | Clinical Neuropsychologist | 1855 San Miguel Dr, Suite 23, Walnut Creek, CA 94596-5279 | 2007-04-17 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.