DR. JOSE ALBERTO LOPEZ PH.D.
NPI 1659417483
Psychologist - Clinical Child & Adolescent in Oakland, CA

Q: What is Jose Lopez's NPI number?

The NPI number for Jose Lopez is 1659417483. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Jose Lopez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jose Lopez was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 29, 2007PECOS Enrolled

280 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-1458(510) 752-1404 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2021, Aug 14, 2018 (2 updates tracked since 2018).

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About Dr. Jose Alberto Lopez Ph.d. NPPES

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

DR. JOSE ALBERTO LOPEZ PH.D. (NPI 1659417483) is an individual clinical child & adolescent provider in Oakland, California, licensed in California (14168) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Alameda.

NPPES Registry Identity

NPI1659417483

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. JOSE ALBERTO LOPEZCredential: PH.D.

Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642

Mailing Address1109 Lafayette StAlameda, CA 94501-4122 · (510) 220-5040

Phone(510) 752-1458

Fax(510) 752-1404

Sole ProprietorNo

Enumeration DateJanuary 29, 2007

Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration

✔ NPI 1659417483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CA · 14168

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

280 W MACARTHUR BLVD, Oakland, CA 94611

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Secondary Practice Location 1

Location 11109 Lafayette StAlameda, CA 94501-4122 · Phone (510) 220-5040

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Alberto Lopez Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JESSICA CHANG PHARM.D., APH

Pharmacist