IndividualActive
Elisenda Santiago-Lopez, PSY.D.
NPI 1730477886 · Clinical Psychologist · Jacksonville, FL
Provider details
- NPI number
- 1730477886
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 10002427 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2080 Child St
Jacksonville, FL 32214-5005
Phone: (933) 989-1932
Street-level locationGet directions
Mailing address
2080 Child St
Jacksonville, FL 32214-5005
Additional practice locations (2)
- 100 Brewster BlvdCamp Lejeune, NC 28547-2575Phone: (939) 891-9323
- Sector Bordaleza Carr 901 Ramal 776 Km 4.6Maunabo, PR 00707Phone: (939) 891-9323
Registry dates
- Enumerated
- 2011-07-11
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.