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DR. ANA LETICIA GONTIJO LOPES PSY.D.
NPI 1922248160
Psychologist - Clinical in Fort Myers, FL

Active since February 28, 2009Opted out of Medicare · through Feb 12, 2028
13430 PARKER COMMONS BLVD, 101, FORT MYERS, FL 33912(239) 561-9955 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ana Leticia Gontijo Lopes Psy.d. NPPES

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

DR. ANA LETICIA GONTIJO LOPES PSY.D. (NPI 1922248160) is an individual clinical provider in Fort Myers, Florida, licensed in Florida (PY 8684) and active in the NPI registry since February 2009. She has opted out of Medicare through February 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922248160
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANA LETICIA GONTIJO LOPESCredential: PSY.D.
Location Address13430 PARKER COMMONS BLVD, 101Fort Myers, FL 33912-1812
Mailing Address8402 Sw 162nd TerPalmetto Bay, FL 33157-3683 · (305) 510-6724
Phone(239) 561-9955
Sole ProprietorYes
Enumeration DateFebruary 28, 2009
Last NPPES UpdateJune 10, 2013
✔ NPI 1922248160 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 FL · PY 8684
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.
13430 PARKER COMMONS BLVD, Fort Myers, FL 33912
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ana Leticia Gontijo Lopes Psy.d. 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 February 12, 2018 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2018
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Ana Leticia Lopes's NPI number?

The NPI number for Ana Leticia Lopes is 1922248160. It was assigned to this individual provider in the NPPES registry on February 28, 2009.

Where is Ana Leticia Lopes located?

Ana Leticia Lopes practices at 13430 Parker Commons Blvd 101, Fort Myers, FL 33912. The listed phone number is (239) 561-9955.

What is Ana Leticia Lopes's specialty?

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

Is Ana Leticia Lopes enrolled in Medicare?

No. Ana Leticia Lopes has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ana Leticia Lopes was last updated on June 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.