SUSANA AYALA LOPEZ M.S.
NPI 1669659512
Psychologist in Atascadero, CA

Active since January 23, 2008Opted out of Medicare · through Dec 13, 2027
5955 CAPISTRANO AVE STE E, ATASCADERO, CA 93422(805) 703-5330(805) 703-5350 Get Directions Write a Review

NPPES record last updated: September 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susana Ayala Lopez M.s. NPPES

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

SUSANA AYALA LOPEZ M.S. (NPI 1669659512) is an individual psychologist in Atascadero, California, licensed in California (28957) and active in the NPI registry since January 2008. She has opted out of Medicare through December 13, 2027.

NPPES Registry Identity

NPI1669659512
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSUSANA AYALA LOPEZCredential: M.S.
Location Address5955 CAPISTRANO AVE STE EAtascadero, CA 93422-7227
Mailing Address5955 Capistrano Ave Ste EAtascadero, CA 93422-7227 · (805) 703-5330 · Fax (805) 703-5350
Fax(805) 703-5350
Sole ProprietorNo
Enumeration DateJanuary 23, 2008
Last NPPES UpdateSeptember 25, 2021
NPPES CertifiedSeptember 25, 2021
NPI 1669659512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 28957
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5955 CAPISTRANO AVE STE E, Atascadero, CA 93422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Susana Ayala Lopez M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2021 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2021
Opt-Out In Effect ThroughDecember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Psychologist (Counseling)
5955 CAPISTRANO AVE STE E
ATASCADERO, CA 93422
Psychologist (Clinical)
5955 CAPISTRANO AVE STE E
ATASCADERO, CA 93422
Marriage & Family Therapist
5955 CAPISTRANO AVE STE E
ATASCADERO, CA 93422
Marriage & Family Therapist
5955 CAPISTRANO AVE STE E
ATASCADERO, CA 93422
Marriage & Family Therapist
5955 CAPISTRANO AVE STE E
ATASCADERO, CA 93422
Clinic/Center (Mental Health (Including Community Mental Health Center))
5955 CAPISTRANO AVE STE E
ATASCADERO, CA 93422
Dietitian, Registered
5955 CAPISTRANO AVE STE E
ATASCADERO, CA 93422

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 Susana Lopez's NPI number?

The NPI number for Susana Lopez is 1669659512. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Susana Lopez located?

Susana Lopez practices at 5955 Capistrano Ave Ste E, Atascadero, CA 93422. The listed phone number is (805) 703-5330.

What is Susana Lopez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susana Lopez enrolled in Medicare?

No. Susana Lopez has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Susana Lopez was last updated on September 25, 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.