CHRYSTAL VERGARA-LOPEZ (NPI# 1932676806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932676806 |
| Entity Type | Individual |
| Full Name | CHRYSTAL VERGARA-LOPEZ |
| Credential | PH.D. |
| Practice Address |
146 W River St Fl 3 Providence RI 02904-2609 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4513 |
| Practice Telephone | 4017935700 |
| Practice Fax Number | 4017937801 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS01743 | RI | Behavioral Health & Social Service Providers |
| Street Address |
146 W RIVER ST FL 3 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572390 | Nancy C Lasson | Internal Medicine | 146 W River St Fl 3, Providence, RI 02904-2609 | 2005-07-15 |
| 1609431444 | Alyssa Lynne Norris | Psychologist | 146 W River St Fl 3, Providence, RI 02904-2609 | 2019-05-07 |
| 1972997138 | Christina Bortz | Internal Medicine | 146 W River St Fl 3, Providence, RI 02904 | 2015-03-26 |
| 1447570122 | Tarra Evans | Obstetrics & Gynecology | 146 W River St Fl 3, Providence, RI 02904 | 2010-06-04 |
| 1568786077 | Joanna Vaz Maclean | Psychiatry & Neurology | 146 W River St Fl 3, Providence, RI 02904 | 2010-03-26 |
| 1538261029 | Lai-yet Lam | Obstetrics & Gynecology | 146 W River St Fl 3, Providence, RI 02904-2609 | 2006-09-04 |
| 1558394833 | Niharika Mehta | Internal Medicine | 146 W River St Fl 3, Providence, RI 02904-2609 | 2006-07-09 |
| 1578506820 | Christina Bandera | Obstetrics & Gynecology | 146 W River St Fl 3, Providence, RI 02904-2609 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225033 | Julia Michelle Kamenetsky | Psychologist | 1155 Westminster St Ste 206, Providence, RI 02909-1140 | 2020-04-29 |
| 1801430509 | Concentric Psychological Services PC | Psychologist | 205 Waterman St Ste 106, Providence, RI 02906-4313 | 2019-11-05 |
| 1073094181 | Frederick Psychological Services, LLC | Psychologist | 2 Regency Plz Ste 18, Providence, RI 02903-3143 | 2018-08-27 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1255865218 | Carly Michelle Goldstein | Psychologist | 196 Richmond St, Providence, RI 02903-4212 | 2017-04-17 |
| 1831505163 | Von Marie Rodriguez-guzman | Psychologist | Coro West Building, One Hoppin Street, Room 2.062, Providence, RI 02903 | 2014-07-08 |
| 1407262058 | Theresa Morgan | Psychologist | 593 Eddy St, Potter Bldg 2nd Floor, Dept of Psychiatry, Rhode Island Hospital, Providence, RI 02903 | 2014-07-03 |
| 1871930875 | Bernardine Pinto | Psychologist | 164 Summit Ave. Coro West, Suite 309, Miriam Hospital, Cbpm, Providence, RI 02906 | 2013-05-30 |
| 1619240009 | Shirley Yen | Psychologist | 700 Butler Dr, Providence, RI 02906-4871 | 2012-02-15 |
| 1639440449 | Sasha Lambert | Psychologist | 49 Pavilion Ave Ste 105, Providence, RI 02905-1534 | 2012-01-25 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on CHRYSTAL VERGARA-LOPEZ.
| 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.