ANDREA CAROLINE LOPEZ SSP, NCSP
NPI 1023820263
Psychologist - School in Marion, IL

NPI Status: Active since January 24, 2025

Contact Information

4505 W DEYOUNG ST STE 203C
MARION, IL
ZIP 62959
Phone: (618) 283-2222

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  • Individual
  • Female
  • Psychologist
  • School

About ANDREA LOPEZ

This page provides the complete NPI Profile along with additional information for Andrea Lopez, a provider established in Marion, Illinois with a medical specialization in Psychologist, focusing in school . The healthcare provider is registered in the NPI registry with number 1023820263 assigned on January 2025. The practitioner's primary taxonomy code is 103TS0200X with license number 2557889 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1023820263
Provider Name
ANDREA CAROLINE LOPEZ SSP, NCSP
Gender
Female
Entity Type
Individual
Location Address
4505 W DEYOUNG ST STE 203C MARION, IL 62959
Location Phone
(618) 283-2222
Mailing Address
1089 BOSKYDELL RD APT 23 CARBONDALE, IL 62902
Mailing Phone
(618) 571-1566
Is Sole Proprietor?
No
Enumeration Date
01-24-2025
Last Update Date
01-24-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist School

Taxonomy Code
103TS0200X
Type
Behavioral Health & Social Service Providers
License No.
2557889
License State
IL
Taxonomy Description
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023820263
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431620212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 6 + 2 + 0 + 2 + 1 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1023820263 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780259408 AUSTIN FISHBACK
Individual
Counselor (Mental Health)4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 283-2222
1558021527 BRITTANY WOOLF BROOKSHIRE LPC
Individual
Counselor (Professional)4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 823-2222
1144845637 MICHELLE VENEGONI-VIGIL LCSW
Individual
Social Worker4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 283-2222
1841056272DR. MEGAN JOY BATES PSY.D
Individual
Psychologist (School)4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 283-2222
1316785116 ALYSH OETZEL
Individual
Speech-Language Pathologist4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 283-2222
1831905751MS. ALAINA A. N. BROWN LSW
Individual
Social Worker4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 283-2222
1467264838 ANNE ROE
Individual
Counselor4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 283-2222
1982416004 ALEXANDRIA KATHERINE STEVENS LPC
Individual
Counselor (Mental Health)4505 W DEYOUNG ST STE 203C 4505 W DEYOUNG ST STE 203C
MARION, IL 62959
(618) 283-2222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023820263, enumerated in the NPI registry as an "individual" on January 24, 2025

The provider is located at 4505 W Deyoung St Ste 203c Marion, Il 62959 and the phone number is (618) 283-2222

The provider's speciality is Psychologist with taxonomy code 103TS0200X with a focus in School

This NPI record was last updated on January 24, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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