DR. WANDAMARIA B LOPEZ PHD
NPI 1124052667
Psychologist - Clinical in Valdosta, GA

Q: What is Wandamaria Lopez's NPI number?

The NPI number for Wandamaria Lopez is 1124052667. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Wandamaria Lopez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Wandamaria Lopez was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

2935 N ASHLEY ST, SUITE F, VALDOSTA, GA 31602(229) 333-2273(229) 293-7911 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Wandamaria B Lopez Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WANDAMARIA B LOPEZ PHD (NPI 1124052667) is an individual clinical provider in Valdosta, Georgia, licensed in Georgia (PSY001532) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1124052667

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. WANDAMARIA B LOPEZCredential: PHD

Location Address2935 N ASHLEY ST, SUITE FValdosta, GA 31602-1777

Mailing Address2935 N Ashley St, Suite FValdosta, GA 31602-1777 · (229) 333-2273 · Fax (229) 293-7911

Phone(229) 333-2273

Fax(229) 293-7911

Sole ProprietorYes

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 10, 2006

Last NPPES UpdateApril 28, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1124052667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY001532

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2935 N ASHLEY ST, Valdosta, GA 31602

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Other Identifiers 3

Other281450LOGA · Bcbs

OtherXXXXX9255GA · Tricare

Medicaid000463724BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Wandamaria B Lopez Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42398281

PECOS Enrollment IDI20080514000824

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AZALEA SLEEP LABS, INC.

Clinical Medical Laboratory

2935 N ASHLEY ST, STE 124
VALDOSTA, GA 31602

Lowndes County (229) 333-7601

SOUTH GEORGIA UPPER CERVICAL CHIROPRACTIC, LLC

Chiropractor

2935 N ASHLEY ST, STE 109
VALDOSTA, GA 31602

Lowndes County (229) 469-4069

BETTER MOOD CLINIC

Social Worker (Clinical)

2935 N ASHLEY ST, BLDG. F
VALDOSTA, GA 31602

Lowndes County (229) 333-2273

KELSIE KEEN

Behavior Technician

2935 N ASHLEY ST
VALDOSTA, GA 31602

Lowndes County (800) 832-9419

MRS. PATRICIA M WITTENBORN LCSW

Social Worker (Clinical)

2935 N ASHLEY ST
VALDOSTA, GA 31602

Lowndes County (229) 247-8700

MS. BARI SNIPES LMFT

Marriage & Family Therapist

2935 N ASHLEY ST, BLDG F
VALDOSTA, GA 31602

Lowndes County (229) 333-2273

DR. CLINTON MCWILLIAMS SHEFFIELD D.C.

Chiropractor

2935 N ASHLEY ST, SUITE 109
VALDOSTA, GA 31602

Lowndes County (229) 469-4069

DR. PENELOPE EDWARDS-CONRAD MD

Psychiatry & Neurology (Neurology)

2935 N ASHLEY ST, D116
VALDOSTA, GA 31602

Lowndes County (229) 244-1192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wandamaria Lopez's NPI number?

The NPI number for Wandamaria Lopez is 1124052667. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Wandamaria Lopez located?

Wandamaria Lopez practices at 2935 N Ashley St Suite F, Valdosta, GA 31602. The listed phone number is (229) 333-2273.

What is Wandamaria Lopez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Wandamaria Lopez enrolled in Medicare?

Yes. Wandamaria Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wandamaria Lopez was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.