Susan's Legacy

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0071091 Issued in NM

Legal business name

SUSAN'S LEGACY

Practice address

8100 Mountain Rd NE
Suite 200
Albuquerque, NM 87110

Phone

(505) 843-8450

Fax

(505) 843-8449

NPI assigned

Oct 22, 2007

Last updated

May 6, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kathryn Weil, PH.D.

Title

Executive Director

Phone

(505) 843-8450

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Susan's Legacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Susan's Legacy

  • Case Management Agency
  • Albuquerque, NM
  • NPI 1245544493
  NPD tax ID
• Susan's Legacy

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1447583836
  NPD tax ID
• Susan's Legacy

  • Case Management Agency
  • Albuquerque, NM
  • NPI 1477797694
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1366631780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 SPAIN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-843-8450",
            "fax_number": "505-843-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 MOUNTAIN RD NE",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-843-8450",
            "fax_number": "505-843-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN'S LEGACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-843-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "0071091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36873594",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM600724",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Susa, RPH
• Susan Brandt Graham, MD, PHD, PC
• Susan Luna, LPCC LLC
• Susan P. Kaspi, PH.D., LLC (Susan P. Kaspi, Ph.D.)
• Susan's Legacy
• Susan's Legacy
• Susan's Legacy
• Brenda N Susman, LMFT
• Cary C Suter
• Ginevra Clare Sutherland Sanchez, LMHC

• Case Management Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.