MEDICARE: MARISELA LOPEZ-SUAREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT145499	CA
2	103TS0200X	School Psychologist	250181464	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	150120277	OTHER	CA	SCHOOL PSYCHOLOGIST

General Provider Information

NPI Number	:	1760852750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISELA LOPEZ-SUAREZ

Provider Business Mailing Address
First Line	:	3000 PARKER RD RM 20
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94806-2742
Country	:	US
Telephone Number	:	510-307-4506
Fax Number	:	510-724-8829

Provider Business Practice Location Address
First Line	:	3000 PARKER RD RM 20
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94806-2742
Country	:	US
Telephone Number	:	510-307-4643
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2015
Last Update Date	:	03/05/2026

Similar Medicare Providers

1558418392 — WEST CONTRA COSTA UNIFIED SCHOOL DISTRICT
Practice Location Address:

3000 PARKER RD # 20
RICHMOND, CA
94806-2742

Practice Phone: 510-307-4630
Practice Fax: 510-724-8829

1689099236 — ERICA WONG OTR/L
Practice Location Address:

3000 PARKER RD
RICHMOND, CA
94806-2742

Practice Phone: 510-307-4630
Practice Fax:

1730558909 — DR. JODI SUZANNE COUICK
Practice Location Address:

3000 PARKER RD
RICHMOND, CA
94806-2742

Practice Phone: 510-915-2654
Practice Fax: 510-724-8829

1902275985 — VICTORIA MINCHILLO-KINYON L.C.S.W. AND L.E.P.
Practice Location Address:

3000 PARKER RD # 20
RICHMOND, CA
94806-2742

Practice Phone: 510-307-4643
Practice Fax:

1053772665 — CHELSEA SIMON
Practice Location Address:

3000 PARKER RD RM 20
RICHMOND, CA
94806-2742

Practice Phone: 510-231-1100
Practice Fax:

1851883748 — NATALIE BURGER NCSP, LMFT
Practice Location Address:

3000 PARKER RD RM 20
RICHMOND, CA
94806-2742

Practice Phone: 510-307-4630
Practice Fax:

Directions to “ MARISELA LOPEZ-SUAREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.