Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marcos Damian Lopez, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1336468925

Dr. Marcos Damian Lopez, PHD is a Clinical Psychologist in Elk Grove, California. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

9403 Aizenberg Cir
Elk Grove, CA 95624-1662
Phone: (916) 702-8750
Fax: (916) 720-0590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-25939 (CA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PSY-25939 (CA)

Record details

NPI number1336468925
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 22, 2010
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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