MARISELA LOPEZ


Address: 66 Trumbull St # 1ff, New Haven, CT 06510-1012
Phone: 4144369080

MARISELA LOPEZ (NPI# 1699249987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699249987
Entity Type Individual
Full Name MARISELA LOPEZ
Credential LP
Practice Address 66 Trumbull St # 1ff
New Haven
CT 06510-1012
Mailing Address 14 Trumbull St Apt 302
New Haven
CT 06511-6312
Practice Telephone 4144369080
Mailing Telephone 4147023148
Enumeration Date 2019-01-19
Last Update Date 2019-01-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 003763 CT Behavioral Health & Social Service Providers

Other Providers MARISELA LOPEZ

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1417240607 Marisela Lopez Massage Therapist 116 S Pinellas Ave, Tarpon Springs, FL 34689-3632 2011-05-19
1790805646 Marisela Lopez Psychiatric Hospital 83614 Eagle Ave, Coachella, CA 92236-6815 2007-03-31

Office Location

Street Address 66 TRUMBULL ST # 1FF
City NEW HAVEN
State CT
Zip Code 06510-1012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336757319 Matthew Peter O'connell Pharmacist 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 2020-07-16
1477171460 Huy Henry Le Pharmacist 20 York Street, Ps-ll, New Haven, CT 06510 2020-07-07
1144855263 Daniel Jacobs Student in an Organized Health Care Education/Training Program 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 2020-03-09
1346898467 Cem Cengiz Internal Medicine Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 2019-09-02
1295292290 Emily Elizabeth Samuel Counselor 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 2019-02-26
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285267880 Margaret Taylor Davis Psychologist 2 Church St S Ste 511, New Haven, CT 06519-1760 2020-02-21
1548829500 Carla Marin Psychologist 47 Trumbull St Ste 204, New Haven, CT 06510-1004 2019-06-12
1639683188 Thomas G Adams Jr. Psychologist 34 Park St Ofc W309, New Haven, CT 06519-1109 2017-11-20
1205367489 Sherry Mckee Psychologist 2 Church St S Ste 109, New Haven, CT 06519-1717 2017-03-21
1447670153 Victoria Lynn Webb Psychologist 2 Hillhouse Ave, New Haven, CT 06511-6804 2014-04-21
1346590908 Samuel Arthur Ball Psychologist 1 Long Wharf, The Apt Foundation, New Haven, CT 06511-5991 2012-09-11
1063710234 Steven Michael Cohen Psychologist 245 Whalley Ave, New Haven, CT 06511-3254 2011-03-11
1215260575 Christy L Olezeski Psychologist 1 Long Wharf Dr Fl 5, New Haven, CT 06511 2009-09-17
1295965010 Kaity Jeanty Psychologist 446 Blake St Ste 200, New Haven, CT 06515-1286 2009-07-15
1598907156 Norris M. Haynes Psychologist 105 Westwood Rd, New Haven, CT 06515-2244 2009-03-28
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Competitor

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City NEW HAVEN
Zip Code 06510

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Dataset Information

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.

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