Healthcare Provider Details

I. General information

NPI: 1518776657
Provider Name (Legal Business Name): ANITA F. LOPES N.P., IN PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 01/03/2025
Certification Date: 12/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 FRANKLIN ST STE 2304
SCHENECTADY NY
12305-2018
US

IV. Provider business mailing address

430 FRANKLIN ST STE 2304
SCHENECTADY NY
12305-2018
US

V. Phone/Fax

Practice location:
  • Phone: 518-788-7983
  • Fax: 866-616-2109
Mailing address:
  • Phone: 518-788-7983
  • Fax: 866-616-2109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANITA LOPES
Title or Position: MEMBER
Credential: PMHNP
Phone: 518-788-7983