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DR. IVELISSE LOPEZ PSYD.
NPI 1215281639
Psychologist - Clinical in Caguas, PR

Active since November 07, 2012PECOS Enrolled
VILLA BLANCA 31 CALLE RUBI, CAGUAS, PR 00725(787) 672-8096 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 12, 2025, Aug 29, 2019 (2 updates tracked since 2019).

About Dr. Ivelisse Lopez Psyd. NPPES

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

DR. IVELISSE LOPEZ PSYD. (NPI 1215281639) is an individual clinical provider in Caguas, Puerto Rico, licensed in Puerto Rico (6168) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215281639
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IVELISSE LOPEZCredential: PSYD.
Location AddressVILLA BLANCA 31 CALLE RUBICaguas, PR 00725-1933
Mailing AddressVilla Blanca 31 Calle RubiCaguas, PR 00725-1933 · (787) 672-8096
Phone(787) 672-8096
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 7, 2012
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1215281639 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 PR · 6168
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.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivelisse Lopez Psyd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971823790
PECOS Enrollment IDI20200108000624
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ivelisse Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro Psicologico Ilo SE LLC
Clinical
66B JOSEFINA LEGRAND, ESQUINA PALMER
Canovanas, PR 00729
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group
NPI 1427731538 (787) 903-9863
Centro Psicologico Ilo, Inc.
Mental Health (Including Community Mental Health Center)
SAN ALFONSO D12 CALLE MIS AMORES
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 10 clinicians in this Medicare group
NPI 1902239114 (787) 930-3144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00725 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
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

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 Ivelisse Lopez's NPI number?

The NPI number for Ivelisse Lopez is 1215281639. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Ivelisse Lopez located?

Ivelisse Lopez practices at Villa Blanca 31 Calle Rubi, Caguas, PR 00725. The listed phone number is (787) 672-8096.

What is Ivelisse Lopez's specialty?

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

Is Ivelisse Lopez enrolled in Medicare?

Yes. Ivelisse Lopez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ivelisse Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivelisse Lopez reassigns Medicare benefits to 2 organizations: Centro Psicologico Ilo SE LLC (Canovanas, PR) and Centro Psicologico Ilo, Inc. (Caguas, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivelisse Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivelisse Lopez was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.